| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $758.58 | |
Aetna
| Professional | $758.58 | $758.58 | $758.58 | |
BCBS
| Facility | $724.44 | $1,380.38 | $2,041.74 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Facility | $588.84 | $1,174.90 | $2,089.30 |