| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.46 | $147.46 | $258.23 | |
BCBS
| Facility | $288.00 | $288.00 | $288.00 | |
BCBS
| Professional | $288.00 | $288.00 | $288.00 | |
Cigna
| Facility | $177.64 | $177.64 | $318.11 | |
Cigna
| Professional | $129.68 | $129.68 | $177.64 | |
United
| Professional | $125.56 | $185.23 | $214.08 |