| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,380.38 | $1,548.82 | |
Aetna
| Professional | $575.44 | $616.60 | $1,380.38 | |
BCBS
| Facility | $933.25 | $933.25 | $933.25 | |
BCBS
| Professional | $933.25 | $933.25 | $933.25 | |
Cigna
| Facility | $489.78 | $512.86 | $630.96 | |
Cigna
| Professional | $257.04 | $588.84 | $1,023.29 | |
United
| Facility | $537.03 | $691.83 | $758.58 | |
United
| Professional | $302.00 | $380.19 | $1,348.96 |