| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $425.90 | $425.90 | $745.86 | |
BCBS
| Facility | $831.83 | $831.83 | $831.83 | |
BCBS
| Professional | $831.83 | $831.83 | $831.83 | |
Cigna
| Facility | $410.92 | $410.92 | $723.38 | |
Cigna
| Professional | $299.97 | $299.97 | $410.92 | |
United
| Professional | $296.52 | $328.08 | $505.56 |