| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.92 | $226.92 | $354.82 | |
BCBS
| Facility | $395.72 | $395.72 | $395.72 | |
BCBS
| Professional | $395.72 | $395.72 | $395.72 | |
Cigna
| Facility | $253.20 | $253.20 | $484.40 | |
Cigna
| Professional | $184.84 | $184.84 | $253.20 | |
United
| Professional | $182.71 | $202.16 | $224.43 |