| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $571.37 | $968.24 | $1,025.19 | |
BCBS
| Professional | $879.80 | $879.80 | $879.80 | |
Cigna
| Facility | $469.00 | $469.00 | $469.00 | |
Cigna
| Professional | $105.06 | $469.00 | $1,706.25 | |
United
| Professional | $429.47 | $572.69 | $852.20 |