| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,684.08 | $1,684.08 | $1,684.08 | |
Aetna
| Professional | $440.45 | $440.45 | $440.45 | |
BCBS
| Facility | $930.03 | $930.03 | $1,033.36 | |
Cigna
| Facility | $457.73 | $457.73 | $457.73 | |
Cigna
| Professional | $457.73 | $457.73 | $457.73 | |
United
| Professional | $490.70 | $518.17 | $518.17 |