| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $738.40 | $784.55 | $784.55 | |
BCBS
| Facility | $784.55 | $815.32 | $861.47 | |
BCBS
| Professional | $830.70 | $830.70 | $830.70 | |
Cigna
| Facility | $784.55 | $784.55 | $784.55 | |
Cigna
| Professional | $784.55 | $784.55 | $784.55 | |
United
| Professional | $769.17 | $769.17 | $923.00 |