| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.90 | $838.90 | $1,337.00 | |
Aetna
| Professional | $787.48 | $956.87 | $1,337.00 | |
BCBS
| Facility | $1,160.03 | $1,160.03 | $1,160.03 | |
BCBS
| Professional | $1,160.03 | $1,160.03 | $1,160.03 | |
Cigna
| Facility | $831.10 | $831.10 | $831.10 | |
Cigna
| Professional | $606.70 | $606.70 | $831.10 | |
United
| Professional | $442.36 | $696.41 | $1,114.77 |