| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $222.25 | $222.25 | $29,093.64 | |
Aetna
| Professional | $222.25 | $222.25 | $246.69 | |
BCBS
| Facility | $278.07 | $278.07 | $278.07 | |
Cigna
| Facility | $300.62 | $399.36 | $399.36 | |
Cigna
| Professional | $399.36 | $399.36 | $399.36 | |
United
| Professional | $222.25 | $246.92 | $427.88 |