| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.76 | $200.76 | $313.92 | |
BCBS
| Facility | $350.10 | $350.10 | $350.10 | |
BCBS
| Professional | $350.10 | $350.10 | $350.10 | |
Cigna
| Facility | $197.94 | $197.94 | $388.15 | |
Cigna
| Professional | $144.50 | $144.50 | $197.94 | |
United
| Professional | $142.84 | $158.03 | $175.46 |