| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $279.32 | $494.11 | $523.16 | |
BCBS
| Professional | $449.00 | $449.00 | $449.00 | |
Cigna
| Facility | $407.81 | $407.81 | $407.81 | |
Cigna
| Professional | $47.24 | $407.81 | $652.50 | |
United
| Professional | $167.57 | $248.33 | $369.32 |