| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.97 | $162.97 | $254.85 | |
BCBS
| Facility | $284.22 | $284.22 | $284.22 | |
BCBS
| Professional | $284.22 | $284.22 | $284.22 | |
Cigna
| Facility | $181.86 | $181.86 | $382.59 | |
Cigna
| Professional | $132.76 | $132.76 | $181.86 | |
United
| Facility | $109.64 | $143.90 | $143.90 | |
United
| Professional | $131.22 | $145.19 | $161.19 |