| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $526.23 | $526.23 | $526.23 | |
BCBS
| Professional | $657.79 | $816.00 | $1,684.00 | |
Cigna
| Facility | $1,052.38 | $1,052.38 | $1,052.38 | |
Cigna
| Professional | $604.63 | $604.63 | $755.79 | |
United
| Professional | $221.02 | $221.02 | $526.23 |