| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.46 | $241.75 | $317.31 | |
BCBS
| Facility | $353.41 | $353.41 | $353.41 | |
BCBS
| Professional | $353.41 | $353.41 | $353.41 | |
Cigna
| Facility | $243.78 | $243.78 | $398.24 | |
Cigna
| Professional | $207.21 | $243.78 | $326.36 | |
United
| Professional | $124.77 | $218.34 | $483.60 |