| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.19 | $1,350.19 | $1,350.19 | |
Aetna
| Professional | $1,350.19 | $1,350.19 | $1,350.19 | |
BCBS
| Professional | $1,687.74 | $2,093.00 | $4,321.00 | |
Cigna
| Facility | $2,700.73 | $2,700.73 | $2,700.73 | |
Cigna
| Professional | $1,551.64 | $1,939.55 | $2,902.74 | |
United
| Professional | $567.08 | $567.08 | $1,350.19 |