| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.40 | $921.22 | $1,021.90 | |
Aetna
| Professional | $397.69 | $397.69 | $499.80 | |
BCBS
| Facility | $503.40 | $503.40 | $503.40 | |
BCBS
| Professional | $503.40 | $503.40 | $503.40 | |
Cigna
| Facility | $327.20 | $343.57 | $381.85 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
United
| Professional | $211.43 | $251.70 | $859.29 |