| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.57 | $170.57 | $266.70 | |
BCBS
| Facility | $297.45 | $297.45 | $297.45 | |
BCBS
| Professional | $297.45 | $297.45 | $297.45 | |
Cigna
| Facility | $218.57 | $218.57 | $331.40 | |
Cigna
| Professional | $159.56 | $159.56 | $218.57 | |
United
| Professional | $135.85 | $150.31 | $166.87 |