| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.43 | $316.43 | $642.98 | |
BCBS
| Professional | $69.84 | $69.84 | $69.84 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $128.00 | $128.00 | $128.00 | |
United
| Professional | $347.83 | $411.07 | $540.90 |