| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.91 | $1,094.18 | $1,213.76 | |
Aetna
| Professional | $472.35 | $657.70 | $1,213.76 | |
BCBS
| Facility | $737.42 | $737.42 | $737.42 | |
BCBS
| Professional | $737.42 | $737.42 | $737.42 | |
Cigna
| Facility | $388.64 | $408.07 | $501.35 | |
Cigna
| Professional | $258.94 | $568.27 | $858.52 | |
United
| Professional | $38.50 | $256.14 | $597.91 |