| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.81 | $163.81 | $286.86 | |
BCBS
| Facility | $319.93 | $319.93 | $319.93 | |
BCBS
| Professional | $319.93 | $319.93 | $319.93 | |
Cigna
| Facility | $166.52 | $166.52 | $332.44 | |
Cigna
| Professional | $121.56 | $121.56 | $166.52 | |
United
| Professional | $120.17 | $132.94 | $204.88 |