| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $281.84 | $363.08 | |
BCBS
| Facility | $389.05 | $389.05 | $389.05 | |
BCBS
| Professional | $389.05 | $389.05 | $389.05 | |
Cigna
| Facility | $229.09 | $229.09 | $331.13 | |
Cigna
| Professional | $194.98 | $229.09 | $331.13 | |
United
| Facility | $22.91 | $173.78 | $316.23 | |
United
| Professional | $147.91 | $229.09 | $478.63 |