| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $640.37 | $640.37 | $1,020.59 | |
Aetna
| Professional | $635.13 | $730.42 | $1,020.59 | |
BCBS
| Facility | $885.49 | $885.49 | $885.49 | |
BCBS
| Professional | $885.49 | $885.49 | $885.49 | |
Cigna
| Facility | $714.02 | $714.02 | $714.02 | |
Cigna
| Professional | $521.23 | $521.23 | $714.02 | |
United
| Professional | $380.05 | $542.48 | $878.47 |