| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $678.84 | $874.96 | $905.49 | |
BCBS
| Professional | $732.84 | $796.56 | $796.56 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $98.81 | $200.00 | $1,590.00 | |
United
| Professional | $363.32 | $515.25 | $869.34 |