| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.88 | $162.88 | $254.70 | |
BCBS
| Facility | $284.06 | $284.06 | $284.06 | |
BCBS
| Professional | $284.06 | $284.06 | $284.06 | |
Cigna
| Facility | $175.81 | $175.81 | $342.65 | |
Cigna
| Professional | $128.34 | $128.34 | $175.81 | |
United
| Professional | $120.17 | $132.96 | $147.61 |