| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $2,691.53 | $2,691.53 | |
Aetna
| Professional | $416.87 | $467.74 | $501.19 | |
BCBS
| Facility | $416.87 | $416.87 | $416.87 | |
BCBS
| Professional | $416.87 | $416.87 | $416.87 | |
Cigna
| Facility | $1,621.81 | $1,621.81 | $1,621.81 | |
United
| Facility | $501.19 | $501.19 | $501.19 | |
United
| Professional | $181.97 | $263.03 | $630.96 |