| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.60 | $341.00 | $453.44 | |
BCBS
| Professional | $468.14 | $468.14 | $468.14 | |
Cigna
| Facility | $354.55 | $354.55 | $465.35 | |
Cigna
| Professional | $354.55 | $354.55 | $617.63 | |
United
| Professional | $190.46 | $285.68 | $543.76 |