| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $532.58 | $532.58 | $832.76 | |
BCBS
| Facility | $928.75 | $928.75 | $928.75 | |
BCBS
| Professional | $928.75 | $928.75 | $928.75 | |
Cigna
| Facility | $632.51 | $632.51 | $1,012.91 | |
Cigna
| Professional | $461.73 | $461.73 | $632.51 | |
United
| Professional | $415.20 | $459.39 | $510.01 |