| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $457.09 | $794.33 | |
BCBS
| Facility | $891.25 | $891.25 | $891.25 | |
BCBS
| Professional | $891.25 | $891.25 | $891.25 | |
Cigna
| Facility | $524.81 | $524.81 | $1,000.00 | |
Cigna
| Professional | $389.05 | $389.05 | $794.33 | |
United
| Facility | $302.00 | $524.81 | $724.44 | |
United
| Professional | $363.08 | $398.11 | $616.60 |