| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $251.46 | $251.46 | $251.46 | |
BCBS
| Facility | $621.00 | $621.00 | $621.00 | |
BCBS
| Professional | $621.00 | $621.00 | $621.00 | |
Cigna
| Facility | $460.00 | $460.00 | $460.00 | |
Cigna
| Professional | $445.00 | $445.00 | $625.00 | |
United
| Professional | $323.66 | $404.26 | $481.05 |