| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.12 | $380.19 | $588.84 | |
BCBS
| Professional | $407.38 | $407.38 | $407.38 | |
Cigna
| Facility | $407.38 | $407.38 | $1,202.26 | |
Cigna
| Professional | $295.12 | $295.12 | $891.25 | |
United
| Facility | $218.78 | $380.19 | $891.25 | |
United
| Professional | $218.78 | $302.00 | $489.78 |