| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,658.61 | $1,658.61 | $1,658.61 | |
Aetna
| Professional | $785.14 | $1,658.61 | $1,658.61 | |
BCBS
| Professional | $1,368.76 | $1,368.76 | $1,368.76 | |
Cigna
| Facility | $1,108.41 | $1,108.41 | $2,032.83 | |
Cigna
| Professional | $809.14 | $1,108.41 | $1,780.02 | |
United
| Professional | $581.04 | $871.57 | $1,312.90 |