| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $177.83 | $208.93 | $446.68 | |
BCBS
| Facility | $512.86 | $512.86 | $512.86 | |
BCBS
| Professional | $199.53 | $269.15 | $380.19 | |
Cigna
| Professional | $208.93 | $316.23 | $524.81 | |
United
| Professional | $218.78 | $281.84 | $478.63 |