| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $407.38 | $501.19 | $1,698.24 | |
BCBS
| Facility | $616.60 | $776.25 | $870.96 | |
BCBS
| Professional | $380.19 | $512.86 | $630.96 | |
Cigna
| Facility | $1,862.09 | $1,862.09 | $1,862.09 | |
Cigna
| Professional | $398.11 | $776.25 | $1,905.46 | |
United
| Facility | $812.83 | $812.83 | $812.83 | |
United
| Professional | $288.40 | $407.38 | $977.24 |