| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $912.01 | $1,174.90 | |
Aetna
| Professional | $173.78 | $239.88 | $602.56 | |
BCBS
| Facility | $354.81 | $489.78 | $616.60 | |
BCBS
| Professional | $117.49 | $407.38 | $537.03 | |
Cigna
| Facility | $588.84 | $1,047.13 | $1,148.15 | |
Cigna
| Professional | $281.84 | $537.03 | $691.83 | |
United
| Facility | $1,148.15 | $1,148.15 | $1,148.15 | |
United
| Professional | $77.62 | $263.03 | $446.68 |