| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $713.75 | $713.75 | $793.05 | |
BCBS
| Professional | $187.25 | $256.08 | $385.28 | |
Cigna
| Facility | $130.00 | $130.00 | $130.00 | |
Cigna
| Professional | $480.00 | $480.00 | $506.25 | |
United
| Professional | $174.22 | $174.22 | $211.00 |