| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $736.66 | $736.66 | $1,151.86 | |
BCBS
| Facility | $1,284.63 | $1,284.63 | $1,284.63 | |
BCBS
| Professional | $1,284.63 | $1,284.63 | $1,284.63 | |
Cigna
| Facility | $830.86 | $830.86 | $1,447.01 | |
Cigna
| Professional | $606.53 | $606.53 | $830.86 | |
United
| Professional | $593.15 | $656.27 | $728.59 |