| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $389.05 | $549.54 | $676.08 | |
BCBS
| Facility | $891.25 | $891.25 | $891.25 | |
BCBS
| Professional | $891.25 | $891.25 | $891.25 | |
Cigna
| Facility | $794.33 | $794.33 | $794.33 | |
Cigna
| Professional | $645.65 | $645.65 | $776.25 | |
United
| Facility | $30.20 | $302.00 | $616.60 | |
United
| Professional | $354.81 | $389.05 | $616.60 |