| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.33 | $891.25 | $1,445.44 | |
BCBS
| Facility | $1,949.84 | $1,949.84 | $1,949.84 | |
BCBS
| Professional | $1,949.84 | $1,949.84 | $1,949.84 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $2,344.23 | |
Cigna
| Professional | $741.31 | $741.31 | $1,584.89 | |
United
| Facility | $602.56 | $794.33 | $1,584.89 | |
United
| Professional | $724.44 | $794.33 | $1,202.26 |