| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.21 | $244.21 | $427.68 | |
BCBS
| Facility | $476.98 | $476.98 | $476.98 | |
BCBS
| Professional | $476.98 | $476.98 | $476.98 | |
Cigna
| Facility | $228.90 | $228.90 | $402.95 | |
Cigna
| Professional | $194.57 | $194.57 | $228.90 | |
United
| Professional | $165.17 | $182.75 | $366.32 |