| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.37 | $173.37 | $303.61 | |
BCBS
| Facility | $338.61 | $338.61 | $338.61 | |
BCBS
| Professional | $338.61 | $338.61 | $338.61 | |
Cigna
| Facility | $232.98 | $232.98 | $381.41 | |
Cigna
| Professional | $170.08 | $170.08 | $232.98 | |
United
| Professional | $156.34 | $172.98 | $462.31 |