| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.56 | $172.56 | $182.42 | |
BCBS
| Facility | $431.88 | $479.87 | $501.14 | |
BCBS
| Professional | $539.84 | $539.84 | $539.84 | |
Cigna
| Facility | $654.29 | $654.29 | $654.29 | |
Cigna
| Professional | $144.21 | $144.21 | $144.21 | |
United
| Professional | $121.76 | $171.12 | $394.43 |