| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.90 | $244.90 | $260.20 | |
BCBS
| Facility | $260.20 | $270.41 | $285.70 | |
BCBS
| Professional | $275.51 | $275.51 | $275.51 | |
Cigna
| Facility | $260.20 | $260.20 | $260.20 | |
Cigna
| Professional | $260.20 | $260.20 | $260.20 | |
United
| Professional | $255.10 | $255.10 | $255.10 |