| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,933.90 | $1,933.90 | $1,933.90 | |
Aetna
| Professional | $915.45 | $1,933.90 | $1,933.90 | |
BCBS
| Professional | $1,450.26 | $1,450.26 | $1,450.26 | |
Cigna
| Facility | $1,304.10 | $1,304.10 | $2,195.36 | |
Cigna
| Professional | $952.00 | $1,304.10 | $1,922.34 | |
United
| Professional | $665.88 | $998.83 | $1,504.59 |