| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,620.05 | $4,620.05 | $4,620.05 | |
Aetna
| Professional | $200.49 | $212.17 | $4,986.89 | |
BCBS
| Professional | $423.00 | $508.00 | $817.00 | |
Cigna
| Professional | $268.89 | $405.38 | $513.66 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $253.00 | $426.21 | $747.50 |