| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.25 | $214.26 | $335.01 | |
BCBS
| Facility | $373.63 | $373.63 | $373.63 | |
BCBS
| Professional | $373.63 | $373.63 | $373.63 | |
Cigna
| Facility | $211.27 | $211.27 | $414.30 | |
Cigna
| Professional | $154.22 | $154.22 | $211.27 | |
United
| Professional | $152.44 | $168.68 | $187.26 |