| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $186.73 | $306.01 | $444.20 | |
BCBS
| Professional | $447.91 | $447.91 | $447.91 | |
Cigna
| Facility | $353.55 | $353.55 | $464.03 | |
Cigna
| Professional | $353.55 | $353.55 | $645.00 | |
United
| Professional | $170.16 | $279.85 | $420.02 |