| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $476.68 | $476.68 | $745.35 | |
BCBS
| Facility | $831.27 | $831.27 | $831.27 | |
BCBS
| Professional | $831.27 | $831.27 | $831.27 | |
Cigna
| Facility | $579.51 | $579.51 | $895.92 | |
Cigna
| Professional | $423.04 | $423.04 | $579.51 | |
United
| Professional | $367.25 | $406.33 | $602.50 |