| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,670.58 | $1,670.58 | $1,670.58 | |
Aetna
| Professional | $790.80 | $1,670.58 | $1,670.58 | |
BCBS
| Professional | $1,378.63 | $1,378.63 | $1,378.63 | |
Cigna
| Facility | $1,028.38 | $1,028.38 | $1,842.32 | |
Cigna
| Professional | $750.72 | $1,028.38 | $1,763.03 | |
United
| Professional | $547.38 | $821.06 | $1,272.16 |