| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.38 | $367.61 | $476.42 | |
BCBS
| Facility | $78.73 | $78.73 | $78.73 | |
BCBS
| Professional | $46.71 | $46.71 | $46.71 | |
Cigna
| Facility | $283.73 | $283.73 | $598.09 | |
Cigna
| Professional | $47.85 | $283.73 | $423.43 | |
United
| Professional | $202.32 | $303.48 | $611.17 |