| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $406.87 | $406.87 | $636.20 | |
BCBS
| Facility | $709.53 | $709.53 | $709.53 | |
BCBS
| Professional | $709.53 | $709.53 | $709.53 | |
Cigna
| Facility | $454.00 | $454.00 | $814.44 | |
Cigna
| Professional | $331.42 | $331.42 | $454.00 | |
United
| Professional | $327.61 | $362.47 | $402.42 |