| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $403.80 | $403.80 | $631.39 | |
BCBS
| Facility | $704.17 | $704.17 | $704.17 | |
BCBS
| Professional | $704.17 | $704.17 | $704.17 | |
Cigna
| Facility | $450.57 | $450.57 | $830.45 | |
Cigna
| Professional | $328.92 | $328.92 | $450.57 | |
United
| Professional | $325.13 | $359.73 | $399.37 |