| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.69 | $140.69 | $220.00 | |
BCBS
| Facility | $245.36 | $245.36 | $245.36 | |
BCBS
| Professional | $245.36 | $245.36 | $245.36 | |
Cigna
| Facility | $166.23 | $166.23 | $254.52 | |
Cigna
| Professional | $121.35 | $121.35 | $166.23 | |
United
| Professional | $104.33 | $115.43 | $128.15 |