| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $268.95 | $268.95 | $471.01 | |
BCBS
| Facility | $525.29 | $525.29 | $525.29 | |
BCBS
| Professional | $525.29 | $525.29 | $525.29 | |
Cigna
| Facility | $271.77 | $271.77 | $478.43 | |
Cigna
| Professional | $198.39 | $198.39 | $271.77 | |
United
| Professional | $196.11 | $216.98 | $334.37 |