| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $277.41 | $277.41 | $433.76 | |
BCBS
| Facility | $483.76 | $483.76 | $483.76 | |
BCBS
| Professional | $483.76 | $483.76 | $483.76 | |
Cigna
| Facility | $246.11 | $246.11 | $433.24 | |
Cigna
| Professional | $179.66 | $179.66 | $246.10 | |
United
| Professional | $177.59 | $196.49 | $218.14 |