| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.86 | $208.30 | $325.70 | |
BCBS
| Facility | $363.24 | $363.24 | $363.24 | |
BCBS
| Professional | $363.24 | $363.24 | $363.24 | |
Cigna
| Facility | $174.32 | $174.32 | $306.87 | |
Cigna
| Professional | $127.25 | $127.25 | $174.32 | |
United
| Professional | $125.79 | $139.18 | $154.51 |