| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $467.74 | $660.69 | $870.96 | |
BCBS
| Professional | $660.69 | $660.69 | $660.69 | |
Cigna
| Facility | $549.54 | $549.54 | $870.96 | |
Cigna
| Professional | $81.28 | $741.31 | $1,174.90 | |
United
| Facility | $43.65 | $107.15 | $741.31 | |
United
| Professional | $33.88 | $93.33 | $741.31 |