| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $639.58 | $639.58 | $1,019.34 | |
Aetna
| Professional | $639.58 | $729.53 | $1,019.34 | |
BCBS
| Facility | $884.41 | $884.41 | $884.41 | |
BCBS
| Professional | $884.41 | $884.41 | $884.41 | |
Cigna
| Facility | $713.15 | $713.15 | $713.15 | |
Cigna
| Professional | $520.60 | $520.60 | $713.15 | |
United
| Professional | $379.58 | $535.95 | $877.39 |