| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.85 | $1,000.85 | $1,000.85 | |
Aetna
| Professional | $473.77 | $1,000.85 | $1,000.85 | |
BCBS
| Professional | $825.95 | $825.95 | $825.95 | |
Cigna
| Facility | $616.27 | $616.27 | $1,103.73 | |
Cigna
| Professional | $449.88 | $616.27 | $966.47 | |
United
| Professional | $328.02 | $526.82 | $822.65 |