| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $387.41 | $542.08 | $617.72 | |
BCBS
| Professional | $472.62 | $481.88 | $523.78 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $686.25 | |
United
| Professional | $294.32 | $396.06 | $681.25 |