| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $911.90 | $1,042.20 | $1,309.01 | |
BCBS
| Facility | $348.33 | $348.33 | $348.33 | |
BCBS
| Professional | $132.21 | $132.21 | $132.21 | |
Cigna
| Facility | $799.37 | $799.37 | $1,643.28 | |
Cigna
| Professional | $133.31 | $799.37 | $799.37 | |
United
| Professional | $555.84 | $1,159.74 | $2,703.98 |