| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.19 | $289.19 | $452.19 | |
BCBS
| Facility | $504.31 | $504.31 | $504.31 | |
BCBS
| Professional | $504.31 | $504.31 | $504.31 | |
Cigna
| Facility | $347.46 | $347.46 | $614.27 | |
Cigna
| Professional | $253.65 | $253.65 | $347.46 | |
United
| Professional | $232.85 | $257.63 | $286.02 |