| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.04 | $294.04 | $514.94 | |
BCBS
| Facility | $574.29 | $574.29 | $574.29 | |
BCBS
| Professional | $574.29 | $574.29 | $574.29 | |
Cigna
| Facility | $305.54 | $305.54 | $649.86 | |
Cigna
| Professional | $223.04 | $223.04 | $305.54 | |
United
| Professional | $220.49 | $243.95 | $375.92 |