| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,894.55 | $2,894.55 | $2,894.55 | |
Aetna
| Professional | $372.52 | $372.52 | $372.52 | |
BCBS
| Facility | $899.53 | $1,092.48 | $1,307.33 | |
BCBS
| Professional | $264.29 | $377.55 | $377.55 | |
Cigna
| Facility | $1,336.09 | $1,336.09 | $1,336.09 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
United
| Professional | $211.43 | $286.12 | $726.05 |