| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $249.65 | $249.65 | $390.36 | |
BCBS
| Facility | $435.35 | $435.35 | $435.35 | |
BCBS
| Professional | $435.35 | $435.35 | $435.35 | |
Cigna
| Facility | $273.20 | $273.20 | $504.50 | |
Cigna
| Professional | $199.44 | $199.44 | $273.20 | |
United
| Professional | $186.43 | $206.27 | $229.01 |