| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $342.50 | $342.50 | $599.80 | |
BCBS
| Facility | $668.94 | $668.94 | $668.94 | |
BCBS
| Professional | $668.94 | $668.94 | $668.94 | |
Cigna
| Facility | $418.79 | $418.79 | $844.40 | |
Cigna
| Professional | $305.72 | $305.72 | $418.79 | |
United
| Professional | $302.20 | $445.81 | $515.23 |