| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $417.00 | $417.00 | $652.03 | |
BCBS
| Facility | $727.19 | $727.19 | $727.19 | |
BCBS
| Professional | $727.19 | $727.19 | $727.19 | |
Cigna
| Facility | $488.53 | $488.53 | $852.10 | |
Cigna
| Professional | $356.63 | $356.63 | $488.53 | |
United
| Professional | $325.16 | $359.77 | $541.94 |