| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.53 | $218.78 | $218.78 | |
BCBS
| Facility | $524.81 | $524.81 | $524.81 | |
BCBS
| Professional | $524.81 | $524.81 | $524.81 | |
Cigna
| Professional | $363.08 | $363.08 | $524.81 | |
United
| Facility | $239.88 | $416.87 | $549.54 | |
United
| Professional | $275.42 | $338.84 | $407.38 |