| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $168.78 | $168.78 | $295.58 | |
BCBS
| Facility | $329.64 | $329.64 | $329.64 | |
BCBS
| Professional | $329.64 | $329.64 | $329.64 | |
Cigna
| Facility | $271.68 | $271.68 | $392.70 | |
Cigna
| Professional | $198.33 | $198.33 | $271.68 | |
United
| Professional | $152.19 | $224.54 | $259.50 |