| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $162.18 | $302.00 | |
BCBS
| Facility | $234.42 | $281.84 | $371.54 | |
Cigna
| Facility | $151.36 | $162.18 | $162.18 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Professional | $125.89 | $162.18 | $371.54 |