| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $512.10 | $527.46 | $739.09 | |
BCBS
| Facility | $88.90 | $173.64 | $200.78 | |
BCBS
| Professional | $75.56 | $88.90 | $88.90 | |
Cigna
| Facility | $578.29 | $578.29 | $578.29 | |
Cigna
| Professional | $491.56 | $578.29 | $578.29 | |
United
| Professional | $61.44 | $112.38 | $650.15 |