| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.82 | $257.04 | $588.84 | |
BCBS
| Facility | $363.08 | $363.08 | $363.08 | |
BCBS
| Professional | $363.08 | $363.08 | $363.08 | |
Cigna
| Facility | $288.40 | $288.40 | $489.78 | |
Cigna
| Professional | $213.80 | $213.80 | $371.54 | |
United
| Facility | $141.25 | $186.21 | $295.12 | |
United
| Professional | $169.82 | $186.21 | $281.84 |