| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $203.13 | $203.13 | $355.74 | |
BCBS
| Facility | $396.74 | $396.74 | $396.74 | |
BCBS
| Professional | $396.74 | $396.74 | $396.74 | |
Cigna
| Facility | $280.67 | $280.67 | $446.89 | |
Cigna
| Professional | $204.89 | $204.89 | $280.67 | |
United
| Professional | $183.19 | $202.68 | $312.33 |