| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $162.18 | $263.03 | |
BCBS
| Facility | $151.36 | $177.83 | $239.88 | |
BCBS
| Professional | $194.98 | $194.98 | $194.98 | |
Cigna
| Facility | $218.78 | $218.78 | $218.78 | |
Cigna
| Professional | $218.78 | $218.78 | $371.54 | |
United
| Facility | $165.96 | $173.78 | $199.53 | |
United
| Professional | $165.96 | $186.21 | $234.42 |