| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.68 | $100.68 | $176.32 | |
BCBS
| Facility | $196.64 | $196.64 | $196.64 | |
BCBS
| Professional | $196.64 | $196.64 | $196.64 | |
Cigna
| Facility | $120.62 | $120.62 | $218.06 | |
Cigna
| Professional | $88.05 | $88.05 | $120.62 | |
United
| Professional | $80.23 | $88.76 | $159.58 |