| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $335.66 | $460.18 | $513.87 | |
BCBS
| Facility | $164.47 | $164.47 | $164.47 | |
BCBS
| Professional | $510.20 | $510.20 | $510.20 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $108.80 | $128.00 | $348.75 | |
United
| Professional | $268.22 | $357.67 | $652.80 |