| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.30 | $114.30 | $258.45 | |
BCBS
| Facility | $198.17 | $198.17 | $198.17 | |
BCBS
| Professional | $198.17 | $198.17 | $198.17 | |
Cigna
| Facility | $301.51 | $301.51 | $442.07 | |
Cigna
| Professional | $220.10 | $220.10 | $301.51 | |
United
| Professional | $207.82 | $220.78 | $346.36 |