| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.11 | $250.11 | $438.00 | |
BCBS
| Facility | $488.49 | $488.49 | $488.49 | |
BCBS
| Professional | $488.49 | $488.49 | $488.49 | |
Cigna
| Facility | $366.26 | $366.26 | $577.97 | |
Cigna
| Professional | $267.37 | $267.37 | $366.26 | |
United
| Professional | $196.78 | $217.72 | $335.50 |