| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.34 | $185.42 | $200.00 | |
BCBS
| Facility | $476.78 | $643.99 | $762.40 | |
BCBS
| Professional | $187.22 | $220.26 | $304.95 | |
Cigna
| Facility | $192.91 | $192.91 | $192.91 | |
Cigna
| Professional | $140.82 | $192.91 | $192.91 | |
United
| Professional | $130.54 | $168.24 | $280.39 |