| 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 | $1,407.05 | $1,407.05 | $2,175.13 | |
Cigna
| Professional | $1,027.15 | $1,027.15 | $2,521.50 | |
United
| Professional | $646.26 | $969.40 | $1,547.88 |