| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.37 | $121.37 | $212.55 | |
BCBS
| Facility | $237.05 | $237.05 | $237.05 | |
BCBS
| Professional | $237.05 | $237.05 | $237.05 | |
Cigna
| Facility | $140.85 | $140.85 | $239.51 | |
Cigna
| Professional | $102.82 | $102.82 | $216.04 | |
United
| Professional | $98.18 | $108.63 | $167.39 |