| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.04 | $111.04 | $194.45 | |
BCBS
| Facility | $216.86 | $216.86 | $216.86 | |
BCBS
| Professional | $216.86 | $216.86 | $216.86 | |
Cigna
| Facility | $138.76 | $138.76 | $260.76 | |
Cigna
| Professional | $101.29 | $101.29 | $138.76 | |
United
| Professional | $100.13 | $110.79 | $170.72 |