| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $509.20 | $509.20 | $509.20 | |
BCBS
| Professional | $636.50 | $789.00 | $1,629.00 | |
Cigna
| Facility | $1,018.18 | $1,018.18 | $1,018.18 | |
Cigna
| Professional | $585.22 | $585.22 | $731.53 | |
United
| Professional | $213.86 | $213.86 | $509.20 |