| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $461.50 | $461.50 | $800.40 | |
BCBS
| Facility | $892.60 | $892.60 | $892.60 | |
BCBS
| Professional | $892.60 | $892.60 | $892.60 | |
Cigna
| Facility | $760.17 | $760.17 | $760.17 | |
Cigna
| Professional | $643.37 | $643.37 | $778.93 | |
United
| Professional | $354.13 | $388.47 | $434.60 |