| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $635.87 | $635.87 | $1,013.41 | |
Aetna
| Professional | $509.14 | $645.79 | $1,013.41 | |
BCBS
| Facility | $941.00 | $941.00 | $941.00 | |
BCBS
| Professional | $941.00 | $941.00 | $941.00 | |
Cigna
| Facility | $632.51 | $632.51 | $632.51 | |
Cigna
| Professional | $461.73 | $461.73 | $632.51 | |
United
| Professional | $306.26 | $527.87 | $844.97 |