| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $645.65 | $1,479.11 | |
Aetna
| Professional | $501.19 | $630.96 | $1,071.52 | |
BCBS
| Facility | $489.78 | $676.08 | $2,398.83 | |
BCBS
| Professional | $630.96 | $660.69 | $1,445.44 | |
Cigna
| Facility | $776.25 | $776.25 | $4,897.79 | |
Cigna
| Professional | $575.44 | $575.44 | $1,737.80 | |
United
| Facility | $407.38 | $645.65 | $1,479.11 | |
United
| Professional | $416.87 | $588.84 | $954.99 |