| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $187.04 | $187.04 | $327.54 | |
BCBS
| Facility | $365.30 | $365.30 | $365.30 | |
BCBS
| Professional | $365.30 | $365.30 | $365.30 | |
Cigna
| Facility | $239.35 | $239.35 | $404.99 | |
Cigna
| Professional | $174.73 | $174.73 | $328.21 | |
United
| Professional | $149.04 | $164.90 | $254.10 |