| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $392.33 | $392.33 | $613.46 | |
BCBS
| Facility | $684.17 | $684.17 | $684.17 | |
BCBS
| Professional | $684.17 | $684.17 | $684.17 | |
Cigna
| Facility | $386.84 | $386.84 | $758.55 | |
Cigna
| Professional | $282.39 | $282.39 | $386.83 | |
United
| Professional | $279.14 | $308.85 | $342.88 |