| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.38 | $199.38 | $311.77 | |
BCBS
| Facility | $347.70 | $347.70 | $347.70 | |
BCBS
| Professional | $347.70 | $347.70 | $347.70 | |
Cigna
| Facility | $212.98 | $212.98 | $385.51 | |
Cigna
| Professional | $155.47 | $155.47 | $212.98 | |
United
| Professional | $141.87 | $156.97 | $174.27 |