| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $255.10 | $255.10 | $398.88 | |
BCBS
| Facility | $444.85 | $444.85 | $444.85 | |
BCBS
| Professional | $444.85 | $444.85 | $444.85 | |
Cigna
| Facility | $297.02 | $297.02 | $533.83 | |
Cigna
| Professional | $216.82 | $216.82 | $297.02 | |
United
| Professional | $205.40 | $227.26 | $252.30 |