| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,487.35 | $1,487.35 | $1,487.35 | |
Aetna
| Professional | $704.07 | $1,487.35 | $1,487.35 | |
BCBS
| Professional | $1,141.22 | $1,141.22 | $1,141.22 | |
Cigna
| Facility | $1,014.49 | $1,014.49 | $1,560.91 | |
Cigna
| Professional | $740.58 | $1,014.49 | $1,366.79 | |
United
| Professional | $420.18 | $630.26 | $1,015.86 |