| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.59 | $98.59 | $172.65 | |
BCBS
| Facility | $192.55 | $192.55 | $192.55 | |
BCBS
| Professional | $192.55 | $192.55 | $192.55 | |
Cigna
| Facility | $67.73 | $67.73 | $213.08 | |
Cigna
| Professional | $57.58 | $57.58 | $67.73 | |
United
| Professional | $78.43 | $86.78 | $133.72 |