| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $258.58 | $258.58 | $452.86 | |
BCBS
| Facility | $505.06 | $505.06 | $505.06 | |
BCBS
| Professional | $505.06 | $505.06 | $505.06 | |
Cigna
| Facility | $364.44 | $364.44 | $573.45 | |
Cigna
| Professional | $266.04 | $266.04 | $364.44 | |
United
| Professional | $233.20 | $258.02 | $397.59 |