| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Aetna
| Professional | $316.23 | $436.52 | $467.74 | |
BCBS
| Facility | $758.58 | $891.25 | $1,318.26 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
United
| Facility | $724.44 | $724.44 | $724.44 | |
United
| Professional | $1,949.84 | $1,949.84 | $1,949.84 |