| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $223.00 | $223.00 | $390.53 | |
BCBS
| Facility | $435.55 | $435.55 | $435.55 | |
BCBS
| Professional | $435.55 | $435.55 | $435.55 | |
Cigna
| Facility | $228.28 | $228.28 | $441.02 | |
Cigna
| Professional | $166.64 | $166.64 | $228.28 | |
United
| Professional | $164.72 | $182.26 | $365.32 |