| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,274.96 | $1,274.96 | $1,274.96 | |
Aetna
| Professional | $603.53 | $1,274.96 | $1,274.96 | |
BCBS
| Professional | $1,052.16 | $1,052.16 | $1,052.16 | |
Cigna
| Facility | $907.46 | $907.46 | $1,406.03 | |
Cigna
| Professional | $662.45 | $907.46 | $1,345.52 | |
United
| Professional | $417.75 | $626.62 | $970.89 |