| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,113.83 | $1,113.83 | $1,113.83 | |
Aetna
| Professional | $152.16 | $152.16 | $152.16 | |
BCBS
| Facility | $205.34 | $228.15 | $238.26 | |
BCBS
| Professional | $178.21 | $178.21 | $178.21 | |
Cigna
| Facility | $545.78 | $545.78 | $545.78 | |
Cigna
| Professional | $120.29 | $283.73 | $354.66 | |
United
| Professional | $86.42 | $116.23 | $296.58 |