| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $419.90 | $419.90 | $735.36 | |
BCBS
| Facility | $820.12 | $820.12 | $820.12 | |
BCBS
| Professional | $820.12 | $820.12 | $820.12 | |
Cigna
| Facility | $419.41 | $419.41 | $747.11 | |
Cigna
| Professional | $306.17 | $306.17 | $666.42 | |
United
| Professional | $302.64 | $334.86 | $516.01 |