| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.53 | $759.53 | $759.53 | |
Aetna
| Professional | $759.53 | $759.53 | $759.53 | |
BCBS
| Facility | $816.18 | $816.18 | $979.41 | |
BCBS
| Professional | $949.41 | $1,177.00 | $2,430.00 | |
Cigna
| Facility | $1,519.25 | $1,519.25 | $1,519.25 | |
Cigna
| Professional | $872.67 | $1,090.83 | $1,633.33 | |
United
| Professional | $35.74 | $319.00 | $562.04 |