| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $795.00 | $1,454.85 | $1,613.85 | |
Aetna
| Professional | $628.04 | $914.25 | $1,613.85 | |
BCBS
| Facility | $795.00 | $795.00 | $795.00 | |
BCBS
| Professional | $795.00 | $795.00 | $795.00 | |
Cigna
| Professional | $340.28 | $698.00 | $1,141.95 | |
United
| Professional | $333.90 | $477.00 | $1,351.50 |