| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.80 | $167.90 | $202.29 | |
BCBS
| Facility | $225.61 | $225.61 | $225.61 | |
BCBS
| Professional | $225.61 | $225.61 | $225.61 | |
Cigna
| Professional | $94.26 | $94.26 | $184.75 | |
United
| Professional | $97.97 | $97.97 | $104.79 |