| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $810.60 | $810.60 | $1,405.60 | |
BCBS
| Professional | $1,573.90 | $1,573.90 | $1,573.90 | |
Cigna
| Facility | $902.06 | $902.06 | $1,561.58 | |
Cigna
| Professional | $902.06 | $902.06 | $902.06 | |
United
| Facility | $123.52 | $939.36 | $1,252.48 | |
United
| Professional | $676.32 | $796.74 | $1,202.04 |