| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.07 | $109.07 | $191.00 | |
BCBS
| Facility | $213.02 | $213.02 | $213.02 | |
BCBS
| Professional | $213.02 | $213.02 | $213.02 | |
Cigna
| Facility | $170.15 | $170.15 | $299.41 | |
Cigna
| Professional | $124.21 | $124.21 | $170.15 | |
United
| Professional | $92.05 | $135.79 | $156.94 |