| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.32 | $415.34 | $415.34 | |
BCBS
| Facility | $235.99 | $235.99 | $235.99 | |
BCBS
| Professional | $235.99 | $235.99 | $235.99 | |
Cigna
| Facility | $152.55 | $152.55 | $261.67 | |
Cigna
| Professional | $111.36 | $111.36 | $152.55 | |
United
| Professional | $96.29 | $106.53 | $118.27 |