| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.13 | $175.13 | $306.70 | |
BCBS
| Facility | $342.05 | $342.05 | $342.05 | |
BCBS
| Professional | $342.05 | $342.05 | $342.05 | |
Cigna
| Facility | $243.19 | $243.19 | $513.72 | |
Cigna
| Professional | $177.53 | $177.53 | $243.19 | |
United
| Professional | $157.94 | $174.74 | $375.92 |