| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.36 | $121.36 | $212.53 | |
BCBS
| Facility | $237.03 | $237.03 | $237.03 | |
BCBS
| Professional | $237.03 | $237.03 | $237.03 | |
Cigna
| Facility | $170.89 | $170.89 | $222.79 | |
Cigna
| Professional | $124.75 | $124.75 | $170.89 | |
United
| Professional | $91.25 | $134.62 | $155.59 |