| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,287.00 | $1,287.00 | $1,287.00 | |
Aetna
| Professional | $1,287.00 | $1,287.00 | $1,287.00 | |
BCBS
| Professional | $1,608.75 | $1,995.00 | $4,118.00 | |
Cigna
| Facility | $2,573.71 | $2,573.71 | $2,573.71 | |
Cigna
| Professional | $1,478.95 | $1,848.69 | $2,766.95 | |
United
| Professional | $540.54 | $540.54 | $1,287.00 |