| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $653.36 | $849.05 | $937.88 | |
BCBS
| Facility | $127.00 | $127.00 | $127.00 | |
BCBS
| Professional | $94.02 | $94.02 | $94.02 | |
Cigna
| Facility | $344.45 | $344.45 | $344.45 | |
Cigna
| Professional | $100.06 | $344.45 | $344.45 | |
United
| Professional | $397.28 | $496.60 | $794.44 |