| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.00 | $850.00 | $850.00 | |
Aetna
| Professional | $820.00 | $850.00 | $1,413.49 | |
BCBS
| Facility | $702.39 | $852.39 | $1,146.73 | |
Cigna
| Facility | $212.00 | $212.00 | $212.00 | |
Cigna
| Professional | $212.00 | $212.00 | $395.24 | |
United
| Professional | $212.00 | $212.00 | $212.00 |