| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.99 | $301.99 | $528.87 | |
BCBS
| Facility | $589.83 | $589.83 | $589.83 | |
BCBS
| Professional | $589.83 | $589.83 | $589.83 | |
Cigna
| Facility | $427.13 | $427.13 | $788.63 | |
Cigna
| Professional | $311.80 | $311.80 | $427.13 | |
United
| Professional | $272.33 | $401.76 | $464.32 |