| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,972.39 | $1,972.39 | $1,972.39 | |
Aetna
| Professional | $933.67 | $1,972.39 | $1,972.39 | |
BCBS
| Professional | $1,627.70 | $1,627.70 | $1,627.70 | |
Cigna
| Facility | $1,214.17 | $1,214.17 | $2,175.13 | |
Cigna
| Professional | $886.34 | $1,214.17 | $2,081.54 | |
United
| Professional | $646.26 | $969.40 | $1,533.27 |