| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $554.10 | $554.10 | $1,004.50 | |
BCBS
| Professional | $1,076.00 | $1,076.00 | $1,076.00 | |
Cigna
| Facility | $251.69 | $251.69 | $583.12 | |
Cigna
| Professional | $251.69 | $251.69 | $251.69 | |
United
| Professional | $388.69 | $501.37 | $835.61 |