| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.26 | $136.26 | $238.63 | |
BCBS
| Facility | $266.13 | $266.13 | $266.13 | |
BCBS
| Professional | $266.13 | $266.13 | $266.13 | |
Cigna
| Facility | $159.21 | $159.21 | $276.83 | |
Cigna
| Professional | $116.22 | $116.22 | $159.21 | |
United
| Professional | $109.91 | $121.61 | $187.40 |