| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $339.82 | $380.69 | $487.80 | |
BCBS
| Facility | $489.01 | $489.01 | $489.01 | |
BCBS
| Professional | $489.01 | $489.01 | $489.01 | |
Cigna
| Facility | $353.90 | $353.90 | $610.66 | |
Cigna
| Professional | $300.82 | $300.82 | $442.38 | |
United
| Professional | $176.95 | $291.19 | $512.71 |