| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $208.93 | $489.78 | $562.34 | |
BCBS
| Professional | $758.58 | $933.25 | $1,905.46 | |
Cigna
| Facility | $602.56 | $602.56 | $602.56 | |
United
| Facility | $602.56 | $602.56 | $602.56 | |
United
| Professional | $125.89 | $125.89 | $302.00 |