| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.99 | $243.89 | $322.30 | |
BCBS
| Facility | $359.44 | $359.44 | $359.44 | |
BCBS
| Professional | $359.44 | $359.44 | $359.44 | |
Cigna
| Facility | $243.42 | $243.42 | $404.51 | |
Cigna
| Professional | $206.91 | $243.42 | $325.88 | |
United
| Professional | $121.78 | $206.14 | $440.63 |