| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $378.90 | $378.90 | $663.55 | |
BCBS
| Facility | $740.03 | $740.03 | $740.03 | |
BCBS
| Professional | $740.03 | $740.03 | $740.03 | |
Cigna
| Facility | $564.36 | $564.36 | $824.19 | |
Cigna
| Professional | $411.98 | $411.98 | $564.36 | |
United
| Professional | $301.35 | $373.79 | $513.79 |