| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.99 | $118.99 | $208.37 | |
BCBS
| Facility | $232.39 | $232.39 | $232.39 | |
BCBS
| Professional | $232.39 | $232.39 | $232.39 | |
Cigna
| Facility | $122.31 | $122.31 | $215.30 | |
Cigna
| Professional | $89.29 | $89.29 | $122.31 | |
United
| Professional | $88.26 | $97.65 | $150.47 |