| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.94 | $314.16 | $329.58 | |
BCBS
| Professional | $282.74 | $282.74 | $282.74 | |
Cigna
| Facility | $240.34 | $240.34 | $240.34 | |
Cigna
| Professional | $33.42 | $240.34 | $483.75 | |
United
| Professional | $138.72 | $208.08 | $328.42 |