| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.04 | $177.83 | $316.23 | |
BCBS
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $173.78 | $269.15 | $524.81 | |
United
| Professional | $154.88 | $288.40 | $562.34 |