| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $280.20 | $280.20 | $491.10 | |
BCBS
| Professional | $544.00 | $544.00 | $544.00 | |
Cigna
| Facility | $279.36 | $279.36 | $562.65 | |
Cigna
| Professional | $279.36 | $279.36 | $279.36 | |
United
| Professional | $243.90 | $288.25 | $433.50 |