| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $710.37 | $710.37 | $1,132.16 | |
Aetna
| Professional | $666.83 | $810.27 | $1,132.16 | |
BCBS
| Facility | $982.30 | $982.30 | $982.30 | |
BCBS
| Professional | $982.30 | $982.30 | $982.30 | |
Cigna
| Facility | $741.89 | $741.89 | $741.89 | |
Cigna
| Professional | $541.58 | $541.58 | $741.89 | |
United
| Professional | $374.59 | $589.71 | $943.99 |