| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $842.92 | $842.92 | $1,318.01 | |
BCBS
| Facility | $1,469.93 | $1,469.93 | $1,469.93 | |
BCBS
| Professional | $1,469.93 | $1,469.93 | $1,469.93 | |
Cigna
| Facility | $831.10 | $831.10 | $1,629.73 | |
Cigna
| Professional | $606.70 | $606.70 | $831.10 | |
United
| Professional | $599.72 | $663.55 | $736.67 |