| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.50 | $134.90 | $213.80 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Facility | $194.98 | $194.98 | $407.38 | |
Cigna
| Professional | $141.25 | $141.25 | $309.03 | |
United
| Facility | $147.91 | $169.82 | $309.03 | |
United
| Professional | $74.13 | $112.20 | $173.78 |