| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $281.99 | $281.99 | $440.93 | |
BCBS
| Facility | $491.75 | $491.75 | $491.75 | |
BCBS
| Professional | $491.75 | $491.75 | $491.75 | |
Cigna
| Facility | $278.04 | $278.04 | $545.23 | |
Cigna
| Professional | $202.97 | $202.97 | $278.04 | |
United
| Facility | $167.61 | $220.01 | $220.01 | |
United
| Professional | $200.63 | $221.99 | $246.45 |