| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $679.58 | $1,187.26 | $1,200.59 | |
BCBS
| Professional | $1,093.28 | $1,093.28 | $1,093.28 | |
Cigna
| Facility | $642.26 | $642.26 | $642.26 | |
Cigna
| Professional | $118.88 | $642.26 | $1,755.00 | |
United
| Professional | $504.16 | $756.24 | $1,197.38 |