| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.48 | $109.48 | $191.72 | |
BCBS
| Facility | $213.82 | $213.82 | $213.82 | |
BCBS
| Professional | $213.82 | $213.82 | $213.82 | |
Cigna
| Facility | $171.65 | $171.65 | $236.64 | |
Cigna
| Professional | $145.90 | $145.90 | $171.65 | |
United
| Professional | $87.09 | $128.47 | $148.49 |