| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $217.13 | $217.13 | $380.25 | |
BCBS
| Facility | $424.07 | $424.07 | $424.07 | |
BCBS
| Professional | $424.07 | $424.07 | $424.07 | |
Cigna
| Facility | $203.51 | $203.51 | $358.26 | |
Cigna
| Professional | $148.56 | $148.56 | $203.51 | |
United
| Professional | $146.85 | $216.64 | $250.38 |