| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $317.91 | $317.91 | $556.74 | |
BCBS
| Facility | $620.91 | $620.91 | $620.91 | |
BCBS
| Professional | $620.91 | $620.91 | $620.91 | |
Cigna
| Facility | $528.47 | $528.47 | $735.58 | |
Cigna
| Professional | $385.78 | $385.78 | $528.47 | |
United
| Professional | $286.69 | $333.62 | $488.80 |