| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,625.00 | $1,868.75 | $3,250.00 | |
Aetna
| Professional | $975.00 | $1,868.75 | $1,868.75 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $424.69 | $515.80 | $1,054.38 | |
Cigna
| Facility | $1,035.13 | $1,320.31 | $3,517.31 | |
Cigna
| Professional | $717.82 | $950.62 | $2,334.48 | |
United
| Professional | $682.50 | $812.50 | $1,625.00 |