| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.66 | $412.66 | $722.67 | |
BCBS
| Facility | $805.96 | $805.96 | $805.96 | |
BCBS
| Professional | $805.96 | $805.96 | $805.96 | |
Cigna
| Facility | $695.50 | $695.50 | $962.58 | |
Cigna
| Professional | $507.72 | $507.72 | $695.50 | |
United
| Professional | $372.13 | $411.74 | $634.47 |