| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,374.00 | $1,374.00 | $1,374.00 | |
Aetna
| Professional | $697.84 | $1,374.00 | $1,374.00 | |
BCBS
| Professional | $1,216.56 | $1,216.56 | $1,216.56 | |
Cigna
| Facility | $902.63 | $902.63 | $1,926.05 | |
Cigna
| Professional | $658.92 | $902.63 | $1,686.52 | |
United
| Professional | $480.44 | $815.45 | $1,122.59 |