| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.10 | $200.10 | $350.42 | |
BCBS
| Facility | $390.81 | $390.81 | $390.81 | |
BCBS
| Professional | $390.81 | $390.81 | $390.81 | |
Cigna
| Facility | $306.16 | $306.16 | $468.03 | |
Cigna
| Professional | $223.50 | $223.50 | $306.16 | |
United
| Professional | $179.48 | $264.77 | $306.01 |