| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $373.75 | $373.75 | $854.60 | |
BCBS
| Professional | $725.70 | $725.70 | $725.70 | |
Cigna
| Facility | $578.29 | $578.29 | $1,030.90 | |
Cigna
| Professional | $578.29 | $578.29 | $578.29 | |
United
| Professional | $47.09 | $127.11 | $845.20 |