| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $2,396.48 | |
Aetna
| Professional | $416.78 | $416.78 | $416.79 | |
BCBS
| Facility | $416.78 | $416.78 | $416.78 | |
BCBS
| Professional | $416.78 | $416.78 | $416.78 | |
Cigna
| Facility | $1,618.89 | $1,618.89 | $1,618.89 | |
United
| Professional | $183.65 | $259.74 | $699.62 |