| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $181.03 | $181.03 | $317.02 | |
BCBS
| Facility | $353.56 | $353.56 | $353.56 | |
BCBS
| Professional | $353.56 | $353.56 | $353.56 | |
Cigna
| Facility | $231.66 | $231.66 | $391.93 | |
Cigna
| Professional | $169.11 | $169.11 | $231.66 | |
United
| Professional | $144.25 | $212.81 | $245.94 |