| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $372.52 | $372.52 | $372.52 | |
BCBS
| Facility | $533.61 | $592.90 | $619.17 | |
BCBS
| Professional | $463.13 | $463.13 | $463.13 | |
Cigna
| Facility | $1,488.73 | $1,488.73 | $1,488.73 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
United
| Facility | $604.08 | $604.08 | $604.08 | |
United
| Professional | $176.19 | $503.40 | $726.05 |