| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.36 | $102.36 | $179.26 | |
BCBS
| Facility | $199.92 | $199.92 | $199.92 | |
BCBS
| Professional | $199.92 | $199.92 | $199.92 | |
Cigna
| Facility | $99.32 | $99.32 | $168.89 | |
Cigna
| Professional | $72.50 | $72.50 | $99.32 | |
United
| Professional | $69.23 | $76.59 | $153.54 |