| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $289.80 | $289.80 | $507.52 | |
BCBS
| Facility | $566.01 | $566.01 | $566.01 | |
BCBS
| Professional | $566.01 | $566.01 | $566.01 | |
Cigna
| Facility | $281.20 | $281.20 | $478.17 | |
Cigna
| Professional | $205.28 | $205.28 | $281.20 | |
United
| Professional | $196.01 | $289.14 | $334.19 |