| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.26 | $168.34 | $172.40 | |
BCBS
| Facility | $172.40 | $179.16 | $189.30 | |
BCBS
| Professional | $182.54 | $182.54 | $182.54 | |
Cigna
| Facility | $172.40 | $172.40 | $172.40 | |
Cigna
| Professional | $172.40 | $172.40 | $172.40 | |
United
| Professional | $202.82 | $202.82 | $202.82 |