| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.94 | $192.94 | $301.68 | |
BCBS
| Facility | $336.46 | $336.46 | $336.46 | |
BCBS
| Professional | $336.46 | $336.46 | $336.46 | |
Cigna
| Facility | $227.96 | $227.96 | $373.07 | |
Cigna
| Professional | $166.41 | $166.41 | $227.96 | |
United
| Professional | $137.29 | $151.90 | $168.64 |