| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $516.77 | $615.64 | $741.82 | |
BCBS
| Facility | $100.44 | $100.44 | $100.44 | |
BCBS
| Professional | $74.37 | $74.37 | $74.37 | |
Cigna
| Facility | $687.90 | $687.90 | $687.90 | |
Cigna
| Professional | $76.87 | $687.90 | $687.90 | |
United
| Professional | $314.27 | $345.37 | $628.33 |