| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.13 | $161.13 | $251.95 | |
BCBS
| Facility | $280.98 | $280.98 | $280.98 | |
BCBS
| Professional | $280.98 | $280.98 | $280.98 | |
Cigna
| Facility | $225.30 | $225.30 | $398.77 | |
Cigna
| Professional | $164.47 | $164.47 | $225.30 | |
United
| Professional | $129.74 | $143.54 | $159.36 |