| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $312.00 | $312.00 | $487.86 | |
BCBS
| Facility | $544.10 | $544.10 | $544.10 | |
BCBS
| Professional | $544.10 | $544.10 | $544.10 | |
Cigna
| Facility | $372.88 | $372.88 | $671.13 | |
Cigna
| Professional | $272.20 | $272.20 | $372.88 | |
United
| Professional | $251.22 | $277.95 | $425.35 |