| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $831.76 | $1,000.00 | $1,621.81 | |
BCBS
| Facility | $2,187.76 | $2,187.76 | $2,187.76 | |
BCBS
| Professional | $2,187.76 | $2,187.76 | $2,187.76 | |
Cigna
| Facility | $1,096.48 | $1,096.48 | $2,187.76 | |
Cigna
| Professional | $812.83 | $812.83 | $1,737.80 | |
United
| Facility | $660.69 | $870.96 | $1,778.28 | |
United
| Professional | $794.33 | $870.96 | $1,318.26 |