| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.23 | $239.23 | $239.23 | |
BCBS
| Facility | $392.00 | $392.00 | $392.00 | |
BCBS
| Professional | $392.00 | $392.00 | $392.00 | |
Cigna
| Professional | $354.00 | $354.00 | $425.00 | |
United
| Professional | $204.42 | $255.32 | $303.82 |