| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.16 | $244.16 | $381.78 | |
BCBS
| Facility | $425.78 | $425.78 | $425.78 | |
BCBS
| Professional | $425.78 | $425.78 | $425.78 | |
Cigna
| Facility | $237.10 | $237.10 | $502.35 | |
Cigna
| Professional | $173.08 | $173.08 | $237.10 | |
United
| Professional | $171.09 | $189.30 | $210.16 |