| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $505.11 | $564.71 | $725.07 | |
BCBS
| Facility | $803.45 | $803.45 | $803.45 | |
BCBS
| Professional | $803.45 | $803.45 | $803.45 | |
Cigna
| Facility | $369.39 | $369.39 | $822.43 | |
Cigna
| Professional | $269.64 | $369.39 | $711.17 | |
United
| Professional | $290.27 | $481.19 | $874.17 |