| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $639.12 | $639.12 | $999.35 | |
BCBS
| Facility | $1,114.53 | $1,114.53 | $1,114.53 | |
BCBS
| Professional | $1,114.53 | $1,114.53 | $1,114.53 | |
Cigna
| Facility | $713.15 | $713.15 | $1,337.02 | |
Cigna
| Professional | $520.60 | $520.60 | $713.14 | |
United
| Professional | $514.61 | $569.38 | $632.12 |