| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $643.39 | $1,070.36 | $1,187.34 | |
Aetna
| Professional | $462.07 | $643.39 | $1,187.34 | |
BCBS
| Facility | $844.86 | $844.86 | $844.86 | |
BCBS
| Professional | $844.86 | $844.86 | $844.86 | |
Cigna
| Facility | $380.19 | $399.20 | $605.49 | |
Cigna
| Professional | $266.33 | $548.10 | $1,102.18 | |
United
| Professional | $245.66 | $401.17 | $1,147.33 |