| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,038.00 | $1,751.00 | |
Aetna
| Professional | $780.71 | $1,068.19 | $1,208.24 | |
BCBS
| Facility | $1,101.39 | $1,840.55 | $3,016.30 | |
Cigna
| Facility | $109.33 | $109.33 | $109.33 | |
United
| Facility | $517.79 | $517.79 | $517.79 | |
United
| Professional | $295.33 | $413.70 | $669.68 |