| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.97 | $323.18 | $425.95 | |
BCBS
| Facility | $490.48 | $490.48 | $490.48 | |
BCBS
| Professional | $490.48 | $490.48 | $490.48 | |
Cigna
| Facility | $310.87 | $310.87 | $506.62 | |
Cigna
| Professional | $264.24 | $310.87 | $416.18 | |
United
| Professional | $153.69 | $271.45 | $624.49 |