| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $615.65 | $615.65 | $962.64 | |
BCBS
| Facility | $1,073.59 | $1,073.59 | $1,073.59 | |
BCBS
| Professional | $1,073.59 | $1,073.59 | $1,073.59 | |
Cigna
| Facility | $607.01 | $607.01 | $1,190.30 | |
Cigna
| Professional | $443.12 | $443.12 | $607.00 | |
United
| Professional | $438.02 | $484.64 | $538.04 |