| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $779.50 | $779.50 | $1,478.40 | |
BCBS
| Professional | $1,513.60 | $1,513.60 | $1,513.60 | |
Cigna
| Facility | $989.22 | $989.22 | $1,565.81 | |
Cigna
| Professional | $989.22 | $989.22 | $989.22 | |
United
| Professional | $696.17 | $784.30 | $1,094.78 |