| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $112.20 | $123.03 | |
BCBS
| Facility | $234.42 | $281.84 | $371.54 | |
Cigna
| Facility | $107.15 | $112.20 | $112.20 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Professional | $125.89 | $144.54 | $812.83 |