| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.86 | $169.86 | $265.60 | |
BCBS
| Facility | $296.22 | $296.22 | $296.22 | |
BCBS
| Professional | $296.22 | $296.22 | $296.22 | |
Cigna
| Facility | $196.21 | $196.21 | $346.46 | |
Cigna
| Professional | $143.22 | $143.22 | $196.21 | |
United
| Professional | $136.77 | $151.33 | $231.57 |