| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.15 | $800.15 | $800.15 | |
Aetna
| Professional | $796.09 | $796.09 | $796.09 | |
BCBS
| Professional | $806.51 | $948.84 | $948.84 | |
Cigna
| Facility | $751.03 | $751.03 | $751.03 | |
Cigna
| Professional | $796.09 | $796.09 | $1,126.55 | |
United
| Professional | $318.44 | $796.09 | $796.09 |