| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $263.68 | $263.68 | $461.77 | |
BCBS
| Facility | $515.00 | $515.00 | $515.00 | |
BCBS
| Professional | $515.00 | $515.00 | $515.00 | |
Cigna
| Facility | $329.53 | $329.53 | $580.10 | |
Cigna
| Professional | $240.56 | $240.56 | $329.53 | |
United
| Professional | $237.79 | $350.79 | $405.42 |