| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $190.89 | $243.45 | $261.95 | |
BCBS
| Facility | $268.76 | $268.76 | $268.76 | |
BCBS
| Professional | $268.76 | $268.76 | $268.76 | |
Cigna
| Professional | $160.94 | $160.94 | $273.29 | |
United
| Professional | $144.59 | $144.59 | $144.59 |