| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,428.93 | $1,428.93 | $1,428.93 | |
Aetna
| Professional | $183.90 | $183.90 | $183.90 | |
BCBS
| Facility | $0.02 | $509.59 | $566.21 | |
BCBS
| Professional | $329.28 | $329.28 | $329.28 | |
Cigna
| Facility | $734.55 | $734.55 | $734.55 | |
Cigna
| Professional | $198.81 | $198.81 | $198.81 | |
United
| Professional | $104.37 | $149.11 | $358.43 |