| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.16 | $207.16 | $362.78 | |
BCBS
| Facility | $404.60 | $404.60 | $404.60 | |
BCBS
| Professional | $404.60 | $404.60 | $404.60 | |
Cigna
| Facility | $274.52 | $274.52 | $542.19 | |
Cigna
| Professional | $200.41 | $200.41 | $274.52 | |
United
| Professional | $186.82 | $206.69 | $318.51 |