| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.72 | $145.72 | $227.87 | |
BCBS
| Facility | $254.13 | $254.13 | $254.13 | |
BCBS
| Professional | $254.13 | $254.13 | $254.13 | |
Cigna
| Facility | $185.61 | $185.61 | $284.23 | |
Cigna
| Professional | $135.50 | $135.50 | $185.61 | |
United
| Professional | $112.54 | $124.52 | $138.24 |