| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.39 | $209.39 | $366.70 | |
BCBS
| Facility | $408.96 | $408.96 | $408.96 | |
BCBS
| Professional | $408.96 | $408.96 | $408.96 | |
Cigna
| Facility | $267.94 | $267.94 | $453.39 | |
Cigna
| Professional | $195.60 | $195.60 | $267.94 | |
United
| Professional | $166.84 | $246.14 | $284.45 |