| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,620.00 | $1,620.00 | $1,620.00 | |
Aetna
| Professional | $2,537.44 | $2,537.44 | $2,987.60 | |
BCBS
| Professional | $253.00 | $304.00 | $469.00 | |
Cigna
| Professional | $156.86 | $163.16 | $269.10 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $182.60 | $359.46 | $431.61 |