| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $933.25 | $1,479.11 | |
Aetna
| Professional | $724.44 | $831.76 | $1,479.11 | |
BCBS
| Facility | $1,288.25 | $1,288.25 | $1,288.25 | |
BCBS
| Professional | $1,288.25 | $1,288.25 | $1,288.25 | |
Cigna
| Facility | $1,023.29 | $1,023.29 | $1,023.29 | |
Cigna
| Professional | $741.31 | $741.31 | $1,023.29 | |
United
| Facility | $426.58 | $1,318.26 | $1,737.80 | |
United
| Professional | $416.87 | $776.25 | $1,122.02 |