| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.64 | $213.64 | $374.15 | |
BCBS
| Facility | $417.27 | $417.27 | $417.27 | |
BCBS
| Professional | $417.27 | $417.27 | $417.27 | |
Cigna
| Facility | $277.45 | $277.45 | $470.79 | |
Cigna
| Professional | $202.54 | $202.54 | $277.45 | |
United
| Professional | $170.74 | $251.88 | $339.62 |