| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,370.00 | $4,370.00 | $4,370.00 | |
Aetna
| Professional | $532.00 | $562.40 | $623.20 | |
BCBS
| Facility | $805.62 | $895.13 | $934.80 | |
BCBS
| Professional | $1,007.00 | $1,007.00 | $1,007.00 | |
Cigna
| Professional | $608.00 | $608.00 | $608.00 | |
United
| Professional | $319.20 | $456.00 | $1,096.15 |