| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,005.16 | $1,005.16 | $1,005.16 | |
Aetna
| Professional | $122.37 | $129.36 | $143.34 | |
BCBS
| Facility | $185.30 | $205.89 | $215.02 | |
BCBS
| Professional | $231.62 | $231.62 | $231.62 | |
Cigna
| Professional | $139.85 | $139.85 | $139.85 | |
United
| Professional | $73.42 | $104.89 | $252.13 |