| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $741.31 | $741.31 | $776.25 | |
BCBS
| Facility | $851.14 | $851.14 | $851.14 | |
Cigna
| Facility | $707.95 | $851.14 | $851.14 | |
Cigna
| Professional | $741.31 | $741.31 | $741.31 | |
United
| Professional | $707.95 | $741.31 | $776.25 |