| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.44 | $575.44 | $611.41 | |
BCBS
| Facility | $611.41 | $635.39 | $671.35 | |
BCBS
| Professional | $647.37 | $647.37 | $647.37 | |
Cigna
| Facility | $611.41 | $611.41 | $611.41 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
United
| Professional | $683.34 | $683.34 | $719.30 |