| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $236.57 | $236.57 | $369.91 | |
BCBS
| Facility | $412.54 | $412.54 | $412.54 | |
BCBS
| Professional | $412.54 | $412.54 | $412.54 | |
Cigna
| Facility | $233.26 | $233.26 | $457.40 | |
Cigna
| Professional | $170.28 | $170.28 | $370.49 | |
United
| Professional | $168.32 | $186.23 | $206.76 |