| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $1,317.60 | $1,778.76 | |
Aetna
| Professional | $568.79 | $568.79 | $828.00 | |
BCBS
| Facility | $936.00 | $972.00 | $972.00 | |
Cigna
| Facility | $468.00 | $491.40 | $546.16 | |
United
| Professional | $302.39 | $432.00 | $1,229.02 |