| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $431.50 | $431.50 | $755.67 | |
BCBS
| Facility | $842.77 | $842.77 | $842.77 | |
BCBS
| Professional | $842.77 | $842.77 | $842.77 | |
Cigna
| Facility | $582.20 | $582.20 | $975.39 | |
Cigna
| Professional | $425.01 | $425.01 | $582.20 | |
United
| Professional | $389.13 | $430.54 | $663.45 |