| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.89 | $295.89 | $518.19 | |
BCBS
| Facility | $577.91 | $577.91 | $577.91 | |
BCBS
| Professional | $577.91 | $577.91 | $577.91 | |
Cigna
| Facility | $400.78 | $400.78 | $700.25 | |
Cigna
| Professional | $292.57 | $292.57 | $400.78 | |
United
| Professional | $266.83 | $295.24 | $454.95 |