| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $571.20 | $571.20 | $1,160.69 | |
BCBS
| Professional | $153.02 | $153.02 | $153.02 | |
Cigna
| Facility | $360.90 | $360.90 | $360.90 | |
Cigna
| Professional | $360.90 | $360.90 | $360.90 | |
United
| Professional | $627.89 | $726.27 | $840.62 |