| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.00 | $140.00 | $140.00 | |
BCBS
| Facility | $251.05 | $251.05 | $567.00 | |
BCBS
| Professional | $213.39 | $251.05 | $251.05 | |
Cigna
| Facility | $223.29 | $223.29 | $223.29 | |
Cigna
| Professional | $163.00 | $163.00 | $163.00 | |
United
| Professional | $142.21 | $196.90 | $328.16 |