| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.32 | $134.08 | $172.55 | |
BCBS
| Facility | $316.00 | $316.00 | $316.00 | |
BCBS
| Professional | $222.00 | $281.00 | $453.00 | |
BCBS
| Professional | 50 | $333.00 | $537.00 | $679.50 |
Cigna
| Professional | $150.11 | $230.23 | $349.20 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $153.12 | $260.64 | $452.41 |