| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.22 | $303.22 | $531.01 | |
BCBS
| Facility | $592.22 | $592.22 | $592.22 | |
BCBS
| Professional | $592.22 | $592.22 | $592.22 | |
Cigna
| Facility | $459.90 | $459.90 | $696.86 | |
Cigna
| Professional | $335.73 | $335.73 | $602.16 | |
United
| Professional | $273.44 | $403.39 | $466.21 |