| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $357.17 | $357.17 | $558.49 | |
BCBS
| Facility | $622.86 | $622.86 | $622.86 | |
BCBS
| Professional | $622.86 | $622.86 | $622.86 | |
Cigna
| Facility | $379.04 | $379.04 | $645.47 | |
Cigna
| Professional | $276.70 | $276.70 | $515.96 | |
United
| Professional | $234.40 | $259.33 | $287.92 |