| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $358.97 | $432.26 | $515.29 | |
BCBS
| Facility | $635.25 | $635.25 | $635.25 | |
BCBS
| Professional | $550.00 | $550.00 | $550.00 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $170.00 | $200.00 | $200.00 | |
United
| Professional | $286.83 | $371.73 | $688.31 |