| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $1,412.54 | |
Aetna
| Professional | $707.95 | $851.14 | $1,412.54 | |
BCBS
| Facility | $1,230.27 | $1,230.27 | $1,230.27 | |
BCBS
| Professional | $1,230.27 | $1,230.27 | $1,230.27 | |
Cigna
| Facility | $1,122.02 | $1,122.02 | $1,122.02 | |
Cigna
| Professional | $812.83 | $812.83 | $1,122.02 | |
United
| Facility | $478.63 | $1,288.25 | $1,949.84 | |
United
| Professional | $467.74 | $758.58 | $1,096.48 |