| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $286.13 | $286.13 | $501.09 | |
BCBS
| Facility | $558.84 | $558.84 | $558.84 | |
BCBS
| Professional | $558.84 | $558.84 | $558.84 | |
Cigna
| Facility | $493.58 | $493.58 | $643.72 | |
Cigna
| Professional | $360.31 | $360.31 | $493.58 | |
United
| Professional | $258.04 | $380.66 | $439.93 |