| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.13 | $168.13 | $262.89 | |
BCBS
| Facility | $293.20 | $293.20 | $293.20 | |
BCBS
| Professional | $293.20 | $293.20 | $293.20 | |
Cigna
| Facility | $175.00 | $175.00 | $325.08 | |
Cigna
| Professional | $127.75 | $127.75 | $175.00 | |
United
| Professional | $119.63 | $132.35 | $146.94 |