| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $485.12 | $485.12 | $849.58 | |
BCBS
| Facility | $947.50 | $947.50 | $947.50 | |
BCBS
| Professional | $947.50 | $947.50 | $947.50 | |
Cigna
| Facility | $583.49 | $583.49 | $1,103.51 | |
Cigna
| Professional | $425.95 | $425.95 | $583.49 | |
United
| Professional | $421.06 | $621.15 | $717.88 |