| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $333.75 | $333.75 | $673.22 | |
BCBS
| Facility | $578.62 | $578.62 | $578.62 | |
BCBS
| Professional | $578.62 | $578.62 | $578.62 | |
Cigna
| Facility | $636.97 | $636.97 | $984.92 | |
Cigna
| Professional | $464.99 | $464.99 | $636.97 | |
United
| Professional | $461.69 | $481.81 | $538.64 |