| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.41 | $406.41 | $406.41 | |
BCBS
| Facility | $50.24 | $190.81 | $302.26 | |
BCBS
| Professional | $45.00 | $60.00 | $290.63 | |
Cigna
| Facility | $682.90 | $863.91 | $1,193.82 | |
United
| Facility | $803.66 | $803.66 | $803.66 |