| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $1,023.29 | |
Aetna
| Professional | $676.08 | $707.95 | $1,023.29 | |
BCBS
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Facility | $724.44 | $724.44 | $724.44 | |
Cigna
| Professional | $724.44 | $724.44 | $724.44 | |
United
| Professional | $676.08 | $724.44 | $1,148.15 |