| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $669.23 | $739.18 | $960.67 | |
BCBS
| Facility | $130.07 | $130.07 | $130.07 | |
BCBS
| Professional | $96.31 | $96.31 | $96.31 | |
Cigna
| Facility | $999.36 | $999.36 | $999.36 | |
Cigna
| Professional | $99.55 | $999.36 | $999.36 | |
United
| Professional | $406.95 | $508.69 | $813.50 |