| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.00 | $922.32 | $1,023.12 | |
Aetna
| Professional | $398.16 | $579.60 | $1,023.12 | |
BCBS
| Facility | $621.60 | $621.60 | $621.60 | |
BCBS
| Professional | $621.60 | $621.60 | $621.60 | |
Cigna
| Facility | $327.60 | $343.98 | $422.60 | |
Cigna
| Professional | $218.24 | $472.31 | $723.78 | |
United
| Professional | $211.68 | $302.39 | $860.31 |