| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.33 | $647.33 | $1,011.46 | |
Aetna
| Professional | $607.66 | $889.99 | $1,133.33 | |
BCBS
| Facility | $895.13 | $895.13 | $895.13 | |
BCBS
| Professional | $895.13 | $895.13 | $895.13 | |
Cigna
| Facility | $875.29 | $875.29 | $875.29 | |
Cigna
| Professional | $638.96 | $638.96 | $875.29 | |
United
| Professional | $360.42 | $576.28 | $833.09 |