| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,898.00 | $2,898.00 | $2,898.00 | |
Aetna
| Professional | $352.80 | $372.96 | $413.28 | |
BCBS
| Facility | $504.00 | $593.61 | $645.12 | |
BCBS
| Professional | $378.00 | $378.00 | $400.68 | |
Cigna
| Facility | $1,337.68 | $1,337.68 | $1,337.68 | |
Cigna
| Professional | $294.83 | $579.03 | $723.78 | |
United
| Professional | $211.68 | $302.39 | $726.92 |