| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $202.71 | $202.71 | $316.95 | |
BCBS
| Facility | $353.50 | $353.50 | $353.50 | |
BCBS
| Professional | $353.50 | $353.50 | $353.50 | |
Cigna
| Facility | $216.42 | $216.42 | $360.33 | |
Cigna
| Professional | $157.99 | $157.99 | $216.42 | |
United
| Facility | $116.58 | $153.02 | $153.02 | |
United
| Professional | $139.55 | $154.40 | $171.41 |