| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $338.39 | $338.39 | $687.63 | |
BCBS
| Professional | $85.40 | $85.40 | $85.40 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $200.00 | $200.00 | $200.00 | |
United
| Professional | $371.98 | $430.26 | $658.22 |