| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.51 | $188.51 | $294.76 | |
BCBS
| Facility | $328.73 | $328.73 | $328.73 | |
BCBS
| Professional | $328.73 | $328.73 | $328.73 | |
Cigna
| Facility | $214.16 | $214.16 | $343.13 | |
Cigna
| Professional | $156.34 | $156.34 | $214.16 | |
United
| Facility | $119.63 | $154.24 | $154.24 | |
United
| Professional | $146.49 | $155.62 | $172.77 |