| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.88 | $316.88 | $554.95 | |
BCBS
| Facility | $618.91 | $618.91 | $618.91 | |
BCBS
| Professional | $618.91 | $618.91 | $618.91 | |
Cigna
| Facility | $405.51 | $405.51 | $686.14 | |
Cigna
| Professional | $296.02 | $296.02 | $405.51 | |
United
| Professional | $252.49 | $279.36 | $626.85 |