| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.00 | $1,738.50 | $1,928.50 | |
Aetna
| Professional | $750.50 | $1,045.00 | $1,824.00 | |
BCBS
| Facility | $344.66 | $344.66 | $344.66 | |
BCBS
| Professional | $344.66 | $344.66 | $344.66 | |
Cigna
| Facility | $617.50 | $648.38 | $720.62 | |
Cigna
| Professional | $1,091.56 | $1,091.56 | $1,364.45 | |
United
| Professional | $399.00 | $522.50 | $1,425.00 |