| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $496.68 | $909.72 | $1,166.70 | |
BCBS
| Facility | $157.97 | $157.97 | $157.97 | |
BCBS
| Professional | $116.96 | $116.96 | $116.96 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $120.90 | $398.65 | $469.00 | |
United
| Professional | $494.14 | $634.48 | $1,007.05 |