| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $806.80 | $806.80 | $1,285.83 | |
Aetna
| Professional | $659.70 | $819.41 | $1,285.83 | |
BCBS
| Facility | $1,115.64 | $1,115.64 | $1,115.64 | |
BCBS
| Professional | $1,115.64 | $1,115.64 | $1,115.64 | |
Cigna
| Facility | $829.42 | $840.60 | $840.60 | |
Cigna
| Professional | $613.64 | $613.64 | $840.60 | |
United
| Professional | $418.58 | $676.08 | $1,122.21 |