| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $565.50 | $809.93 | $1,061.46 | |
BCBS
| Facility | $205.35 | $205.35 | $205.35 | |
BCBS
| Professional | $1,036.00 | $1,036.00 | $1,036.00 | |
Cigna
| Facility | $833.40 | $833.40 | $833.40 | |
Cigna
| Professional | $106.49 | $833.40 | $1,571.25 | |
United
| Professional | $445.72 | $668.58 | $1,058.58 |