| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $812.83 | $1,000.00 | |
Aetna
| Professional | $512.86 | $831.76 | $1,023.29 | |
BCBS
| Facility | $89.13 | $114.82 | $524.81 | |
BCBS
| Professional | $128.82 | $562.34 | $1,023.29 | |
Cigna
| Facility | $100.00 | $691.83 | $2,290.87 | |
Cigna
| Professional | $25.12 | $25.12 | $4,365.16 | |
United
| Facility | $58.88 | $93.33 | $2,089.30 | |
United
| Professional | $51.29 | $104.71 | $549.54 |