| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.75 | $758.75 | $1,138.13 | |
Aetna
| Professional | $758.75 | $785.65 | $1,089.15 | |
BCBS
| Facility | $162.06 | $162.06 | $162.06 | |
Cigna
| Facility | $37.47 | $81.01 | $242.55 | |
United
| Facility | $130.26 | $130.26 | $130.26 |