| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.95 | $707.95 | $707.95 | |
BCBS
| Facility | $38.02 | $75.86 | $213.80 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
United
| Facility | $114.82 | $114.82 | $114.82 | |
United
| Professional | $72.44 | $72.44 | $72.44 |