| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $656.70 | $729.73 | $942.69 | |
BCBS
| Facility | $127.62 | $127.62 | $127.62 | |
BCBS
| Professional | $94.50 | $94.50 | $94.50 | |
Cigna
| Facility | $450.00 | $450.00 | $450.00 | |
Cigna
| Professional | $97.68 | $450.00 | $450.00 | |
United
| Professional | $399.30 | $512.69 | $813.49 |