| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $798.83 | $798.83 | $1,249.08 | |
BCBS
| Facility | $1,393.05 | $1,393.05 | $1,393.05 | |
BCBS
| Professional | $1,393.05 | $1,393.05 | $1,393.05 | |
Cigna
| Facility | $891.35 | $891.35 | $1,962.99 | |
Cigna
| Professional | $650.69 | $650.69 | $891.35 | |
United
| Professional | $643.21 | $711.65 | $790.08 |