| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.00 | $110.00 | $192.64 | |
BCBS
| Facility | $214.84 | $214.84 | $214.84 | |
BCBS
| Professional | $214.84 | $214.84 | $214.84 | |
Cigna
| Facility | $113.00 | $113.00 | $199.13 | |
Cigna
| Professional | $82.49 | $82.49 | $113.00 | |
United
| Professional | $79.18 | $87.61 | $135.00 |