| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.38 | $265.38 | $414.95 | |
BCBS
| Facility | $462.78 | $462.78 | $462.78 | |
BCBS
| Professional | $462.78 | $462.78 | $462.78 | |
Cigna
| Facility | $252.60 | $252.60 | $518.78 | |
Cigna
| Professional | $184.40 | $184.40 | $397.45 | |
United
| Professional | $180.50 | $199.71 | $221.72 |