| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $348.86 | $348.86 | $610.94 | |
BCBS
| Facility | $681.36 | $681.36 | $681.36 | |
BCBS
| Professional | $681.36 | $681.36 | $681.36 | |
Cigna
| Facility | $338.50 | $338.50 | $575.61 | |
Cigna
| Professional | $247.11 | $247.11 | $338.50 | |
United
| Professional | $235.95 | $261.06 | $402.28 |