| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $526.49 | $571.91 | $815.82 | |
BCBS
| Professional | $663.00 | $663.00 | $663.00 | |
Cigna
| Facility | $654.00 | $654.00 | $654.75 | |
Cigna
| Professional | $556.54 | $654.00 | $654.75 | |
United
| Professional | $193.96 | $417.08 | $785.90 |