| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $894.73 | $894.73 | $1,398.02 | |
Aetna
| Professional | $839.89 | $1,300.83 | $1,398.02 | |
BCBS
| Facility | $1,237.23 | $1,237.23 | $1,237.23 | |
BCBS
| Professional | $1,237.23 | $1,237.23 | $1,237.23 | |
Cigna
| Facility | $886.63 | $886.63 | $886.63 | |
Cigna
| Professional | $647.24 | $647.24 | $886.63 | |
United
| Professional | $471.92 | $796.51 | $1,259.88 |