| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $695.90 | $695.90 | $739.40 | |
BCBS
| Facility | $739.40 | $768.39 | $811.89 | |
BCBS
| Professional | $782.89 | $782.89 | $782.89 | |
Cigna
| Facility | $739.40 | $739.40 | $739.40 | |
Cigna
| Professional | $739.40 | $739.40 | $739.40 | |
United
| Professional | $85.80 | $114.40 | $143.00 |