| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $239.88 | $239.88 | |
BCBS
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Facility | $229.09 | $251.19 | $251.19 | |
Cigna
| Professional | $398.11 | $398.11 | $398.11 | |
United
| Professional | $239.88 | $251.19 | $426.58 |