| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.75 | $254.75 | $484.60 | |
BCBS
| Professional | $494.60 | $494.60 | $494.60 | |
Cigna
| Facility | $324.85 | $324.85 | $382.81 | |
Cigna
| Professional | $382.81 | $382.81 | $382.81 | |
United
| Professional | $216.54 | $237.39 | $291.48 |