| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,086.63 | $1,086.63 | $1,086.63 | |
Aetna
| Professional | $514.38 | $1,086.63 | $1,086.63 | |
BCBS
| Professional | $748.28 | $748.28 | $748.28 | |
Cigna
| Facility | $736.69 | $736.69 | $1,198.33 | |
Cigna
| Professional | $537.78 | $537.78 | $1,389.38 | |
United
| Professional | $356.04 | $534.05 | $827.48 |