| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.25 | $251.25 | $439.99 | |
BCBS
| Facility | $490.71 | $490.71 | $490.71 | |
BCBS
| Professional | $490.71 | $490.71 | $490.71 | |
Cigna
| Facility | $321.50 | $321.50 | $544.05 | |
Cigna
| Professional | $234.70 | $234.70 | $440.73 | |
United
| Professional | $200.21 | $295.36 | $341.35 |