| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $891.25 | |
Aetna
| Professional | $389.05 | $478.63 | $478.63 | |
BCBS
| Facility | $380.19 | $933.25 | $1,202.26 | |
Cigna
| Facility | $478.63 | $478.63 | $478.63 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
United
| Professional | $467.74 | $467.74 | $467.74 |