| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $443.58 | $443.58 | $776.83 | |
BCBS
| Facility | $866.36 | $866.36 | $866.36 | |
BCBS
| Professional | $866.36 | $866.36 | $866.36 | |
Cigna
| Facility | $624.54 | $624.54 | $960.55 | |
Cigna
| Professional | $455.91 | $455.91 | $624.54 | |
United
| Professional | $353.48 | $391.10 | $602.66 |