| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.57 | $112.57 | $197.14 | |
BCBS
| Facility | $219.86 | $219.86 | $219.86 | |
BCBS
| Professional | $219.86 | $219.86 | $219.86 | |
Cigna
| Facility | $194.51 | $194.51 | $249.22 | |
Cigna
| Professional | $141.99 | $141.99 | $194.51 | |
United
| Professional | $101.51 | $149.76 | $173.08 |