| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $730.30 | $730.30 | $1,163.92 | |
Aetna
| Professional | $695.43 | $833.00 | $1,163.92 | |
BCBS
| Facility | $1,009.85 | $1,009.85 | $1,009.85 | |
BCBS
| Professional | $1,009.85 | $1,009.85 | $1,009.85 | |
Cigna
| Facility | $723.52 | $723.52 | $723.52 | |
Cigna
| Professional | $528.16 | $528.16 | $723.52 | |
United
| Professional | $385.10 | $629.85 | $978.36 |