| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $676.08 | $831.76 | $1,071.52 | |
BCBS
| Facility | $169.82 | $169.82 | $169.82 | |
BCBS
| Professional | $107.15 | $107.15 | $107.15 | |
Cigna
| Facility | $831.76 | $831.76 | $954.99 | |
Cigna
| Professional | $107.15 | $707.95 | $831.76 | |
United
| Facility | $63.10 | $467.74 | $912.01 | |
United
| Professional | $446.68 | $691.83 | $1,348.96 |