| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.14 | $294.14 | $515.11 | |
BCBS
| Facility | $574.48 | $574.48 | $574.48 | |
BCBS
| Professional | $574.48 | $574.48 | $574.48 | |
Cigna
| Facility | $393.88 | $393.88 | $761.09 | |
Cigna
| Professional | $287.52 | $287.52 | $534.92 | |
United
| Professional | $242.88 | $268.73 | $662.75 |