| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.94 | $220.10 | $344.16 | |
BCBS
| Facility | $383.83 | $383.83 | $383.83 | |
BCBS
| Professional | $383.83 | $383.83 | $383.83 | |
Cigna
| Facility | $190.69 | $190.69 | $324.26 | |
Cigna
| Professional | $139.19 | $139.19 | $190.69 | |
United
| Professional | $132.91 | $147.07 | $163.27 |