| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $681.48 | $681.48 | $1,086.11 | |
Aetna
| Professional | $639.70 | $777.32 | $1,086.11 | |
BCBS
| Facility | $942.34 | $942.34 | $942.34 | |
BCBS
| Professional | $942.34 | $942.34 | $942.34 | |
Cigna
| Facility | $944.53 | $944.53 | $944.53 | |
Cigna
| Professional | $689.51 | $689.51 | $944.53 | |
United
| Professional | $359.36 | $571.05 | $905.60 |