| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $434.64 | $467.42 | $623.91 | |
BCBS
| Facility | $694.68 | $694.68 | $694.68 | |
BCBS
| Professional | $694.68 | $694.68 | $694.68 | |
Cigna
| Facility | $647.96 | $647.96 | $727.79 | |
Cigna
| Professional | $473.01 | $647.96 | $647.96 | |
United
| Professional | $252.78 | $397.48 | $773.59 |