| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.15 | $111.15 | $194.65 | |
BCBS
| Facility | $217.09 | $217.09 | $217.09 | |
BCBS
| Professional | $217.09 | $217.09 | $217.09 | |
Cigna
| Facility | $182.31 | $182.31 | $244.53 | |
Cigna
| Professional | $133.09 | $133.09 | $182.31 | |
United
| Professional | $100.24 | $147.87 | $170.90 |