| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $212.01 | $212.01 | $331.51 | |
BCBS
| Facility | $369.72 | $369.72 | $369.72 | |
BCBS
| Professional | $369.72 | $369.72 | $369.72 | |
Cigna
| Facility | $236.57 | $236.57 | $416.45 | |
Cigna
| Professional | $172.70 | $172.70 | $236.56 | |
United
| Professional | $170.71 | $188.88 | $209.69 |