| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.80 | $141.80 | $248.33 | |
BCBS
| Facility | $276.95 | $276.95 | $276.95 | |
BCBS
| Professional | $276.95 | $276.95 | $276.95 | |
Cigna
| Facility | $174.77 | $174.77 | $335.08 | |
Cigna
| Professional | $127.58 | $127.58 | $174.77 | |
United
| Professional | $126.11 | $139.54 | $215.02 |