| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.20 | $264.20 | $462.69 | |
BCBS
| Facility | $516.02 | $516.02 | $516.02 | |
BCBS
| Professional | $516.02 | $516.02 | $516.02 | |
Cigna
| Facility | $293.77 | $293.77 | $515.02 | |
Cigna
| Professional | $214.45 | $214.45 | $293.77 | |
United
| Professional | $190.73 | $281.38 | $325.19 |