| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $178.20 | $270.62 | $349.20 | |
BCBS
| Facility | $391.28 | $391.28 | $391.28 | |
BCBS
| Professional | $391.28 | $391.28 | $391.28 | |
Cigna
| Facility | $277.51 | $277.51 | $438.28 | |
Cigna
| Professional | $235.88 | $277.51 | $371.51 | |
United
| Professional | $143.97 | $291.52 | $556.22 |