| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $562.34 | $724.44 | $5,011.87 | |
BCBS
| Facility | $724.44 | $724.44 | $724.44 | |
Cigna
| Facility | $537.03 | $724.44 | $724.44 | |
Cigna
| Professional | $562.34 | $562.34 | $562.34 | |
United
| Professional | $562.34 | $562.34 | $870.96 |