| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,342.10 | $1,342.10 | $1,342.10 | |
Aetna
| Professional | $681.63 | $1,342.10 | $1,342.10 | |
BCBS
| Professional | $1,079.85 | $1,079.85 | $1,079.85 | |
Cigna
| Facility | $886.63 | $886.63 | $1,587.98 | |
Cigna
| Professional | $647.24 | $886.63 | $1,390.49 | |
United
| Professional | $471.92 | $796.51 | $1,096.53 |