| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $477.02 | $843.88 | $893.52 | |
BCBS
| Professional | $766.90 | $766.90 | $766.90 | |
Cigna
| Facility | $428.20 | $428.20 | $428.20 | |
Cigna
| Professional | $77.83 | $428.20 | $1,117.50 | |
United
| Professional | $286.27 | $424.27 | $631.45 |