| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.44 | $341.00 | $448.40 | |
BCBS
| Facility | $497.01 | $497.01 | $497.01 | |
BCBS
| Professional | $497.01 | $497.01 | $497.01 | |
Cigna
| Facility | $354.55 | $354.55 | $562.79 | |
Cigna
| Professional | $301.37 | $354.55 | $465.35 | |
United
| Professional | $181.58 | $370.42 | $714.21 |