| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,143.26 | $1,143.26 | $1,143.26 | |
Aetna
| Professional | $541.17 | $1,143.26 | $1,143.26 | |
BCBS
| Professional | $857.35 | $857.35 | $857.35 | |
Cigna
| Facility | $741.89 | $741.89 | $1,260.75 | |
Cigna
| Professional | $541.58 | $741.89 | $1,237.90 | |
United
| Professional | $374.59 | $561.89 | $897.18 |