| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $224.72 | $224.72 | $393.55 | |
BCBS
| Facility | $438.91 | $438.91 | $438.91 | |
BCBS
| Professional | $438.91 | $438.91 | $438.91 | |
Cigna
| Facility | $286.80 | $286.80 | $486.63 | |
Cigna
| Professional | $209.36 | $209.36 | $394.12 | |
United
| Professional | $179.08 | $198.13 | $444.59 |