| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $194.53 | $194.53 | $304.18 | |
BCBS
| Facility | $339.24 | $339.24 | $339.24 | |
BCBS
| Professional | $339.24 | $339.24 | $339.24 | |
Cigna
| Facility | $192.25 | $192.25 | $376.08 | |
Cigna
| Professional | $140.34 | $140.34 | $192.25 | |
United
| Professional | $138.72 | $153.49 | $170.40 |