| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.58 | $151.58 | $288.20 | |
BCBS
| Professional | $294.33 | $294.33 | $294.33 | |
Cigna
| Facility | $204.05 | $204.05 | $414.24 | |
Cigna
| Professional | $204.05 | $204.05 | $204.05 | |
United
| Facility | $22.00 | $165.00 | $219.99 | |
United
| Professional | $158.15 | $186.40 | $310.67 |