| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $1,148.15 | |
Aetna
| Professional | $758.58 | $776.25 | $1,047.13 | |
BCBS
| Facility | $162.18 | $162.18 | $223.87 | |
Cigna
| Facility | $37.15 | $75.86 | $239.88 | |
United
| Facility | $208.93 | $269.15 | $501.19 |