| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,119.51 | $3,119.51 | $3,119.51 | |
Aetna
| Professional | $78.45 | $138.08 | $3,685.50 | |
BCBS
| Professional | $178.00 | $238.00 | $310.00 | |
Cigna
| Professional | $149.78 | $206.43 | $300.85 | |
United
| Facility | $788.00 | $788.00 | $3,328.00 | |
United
| Professional | $173.28 | $292.80 | $528.36 |