| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $398.11 | $794.33 | |
BCBS
| Professional | $102.33 | $102.33 | $102.33 | |
Cigna
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Professional | $199.53 | $199.53 | $199.53 | |
United
| Facility | $38.90 | $389.05 | $794.33 | |
United
| Professional | $436.52 | $512.86 | $776.25 |