| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $244.50 | $244.50 | $725.60 | |
BCBS
| Professional | $474.80 | $474.80 | $474.80 | |
Cigna
| Facility | $455.44 | $455.44 | $654.75 | |
Cigna
| Professional | $654.75 | $654.75 | $654.75 | |
United
| Professional | $397.78 | $448.28 | $778.32 |