| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $389.05 | $467.74 | $602.56 | |
BCBS
| Facility | $676.08 | $676.08 | $676.08 | |
BCBS
| Professional | $676.08 | $676.08 | $676.08 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $204.17 | $234.42 | $275.42 | |
United
| Facility | $30.90 | $257.04 | $467.74 | |
United
| Professional | $245.47 | $398.11 | $794.33 |