| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.00 | $900.00 | $1,674.00 | |
Aetna
| Professional | $425.00 | $550.00 | $600.00 | |
BCBS
| Facility | $414.12 | $800.99 | $1,362.66 | |
Cigna
| Facility | $357.13 | $357.13 | $357.13 | |
United
| Facility | $828.27 | $828.27 | $828.27 |