| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $189.27 | $189.27 | $332.66 | |
BCBS
| Professional | $367.50 | $367.50 | $367.50 | |
Cigna
| Facility | $263.45 | $263.45 | $427.72 | |
Cigna
| Professional | $263.45 | $263.45 | $263.45 | |
United
| Professional | $166.45 | $188.58 | $295.54 |