| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.02 | $398.02 | $697.03 | |
BCBS
| Facility | $777.37 | $777.37 | $777.37 | |
BCBS
| Professional | $777.37 | $777.37 | $777.37 | |
Cigna
| Facility | $380.63 | $380.63 | $875.63 | |
Cigna
| Professional | $277.86 | $277.86 | $380.63 | |
United
| Professional | $269.20 | $297.85 | $458.97 |