| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $477.60 | $477.60 | $477.60 | |
BCBS
| Facility | $0.02 | $1,399.08 | $1,554.53 | |
BCBS
| Professional | $904.03 | $904.03 | $904.03 | |
Cigna
| Facility | $2,016.96 | $2,016.96 | $2,016.96 | |
Cigna
| Professional | $545.83 | $545.83 | $545.83 | |
United
| Professional | $286.56 | $682.29 | $984.07 |