| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.38 | $160.38 | $250.79 | |
BCBS
| Facility | $279.70 | $279.70 | $279.70 | |
BCBS
| Professional | $279.70 | $279.70 | $279.70 | |
Cigna
| Facility | $170.96 | $170.96 | $300.95 | |
Cigna
| Professional | $124.80 | $124.80 | $271.63 | |
United
| Professional | $123.37 | $136.49 | $151.54 |