| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $942.97 | $942.97 | $1,302.20 | |
Aetna
| Professional | $449.03 | $942.97 | $942.97 | |
BCBS
| Facility | $853.16 | $853.16 | $853.16 | |
BCBS
| Professional | $673.55 | $898.07 | $1,010.33 | |
Cigna
| Facility | $486.45 | $564.28 | $1,342.60 | |
United
| Professional | $314.32 | $449.03 | $748.39 |