| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $559.90 | $559.90 | $980.60 | |
BCBS
| Professional | $1,093.59 | $1,093.59 | $1,093.59 | |
Cigna
| Facility | $687.90 | $687.90 | $922.26 | |
Cigna
| Professional | $687.90 | $687.90 | $687.90 | |
United
| Professional | $345.58 | $408.41 | $582.48 |