| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $634.01 | $634.01 | $634.01 | |
BCBS
| Professional | $634.01 | $634.01 | $634.01 | |
Cigna
| Professional | $504.27 | $504.27 | $630.34 | |
United
| Professional | $252.88 | $301.05 | $1,343.29 |