| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.88 | $203.88 | $357.05 | |
BCBS
| Facility | $398.20 | $398.20 | $398.20 | |
BCBS
| Professional | $398.20 | $398.20 | $398.20 | |
Cigna
| Facility | $197.02 | $197.02 | $340.54 | |
Cigna
| Professional | $143.82 | $143.82 | $197.02 | |
United
| Professional | $137.90 | $152.57 | $235.11 |