| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.51 | $100.00 | $190.24 | |
BCBS
| Facility | $974.00 | $974.00 | $974.00 | |
BCBS
| Professional | $158.00 | $255.00 | $439.00 | |
Cigna
| Professional | $119.43 | $205.02 | $358.45 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $209.23 | $297.41 | $575.91 |