| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.26 | $179.26 | $280.29 | |
BCBS
| Facility | $312.60 | $312.60 | $312.60 | |
BCBS
| Professional | $312.60 | $312.60 | $312.60 | |
Cigna
| Facility | $176.75 | $176.75 | $346.63 | |
Cigna
| Professional | $129.03 | $129.03 | $176.75 | |
United
| Professional | $127.54 | $141.11 | $156.66 |