| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $402.23 | $402.23 | $628.92 | |
BCBS
| Facility | $701.42 | $701.42 | $701.42 | |
BCBS
| Professional | $701.42 | $701.42 | $701.42 | |
Cigna
| Facility | $512.80 | $512.80 | $847.18 | |
Cigna
| Professional | $374.35 | $374.35 | $512.80 | |
United
| Professional | $323.87 | $358.33 | $397.82 |