| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.65 | $165.65 | $259.02 | |
BCBS
| Facility | $288.87 | $288.87 | $288.87 | |
BCBS
| Professional | $288.87 | $288.87 | $288.87 | |
Cigna
| Facility | $144.84 | $144.84 | $272.60 | |
Cigna
| Professional | $105.73 | $105.73 | $230.02 | |
United
| Professional | $104.52 | $115.64 | $128.38 |