| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $648.44 | $648.44 | $1,013.18 | |
Aetna
| Professional | $648.44 | $1,013.18 | $1,257.13 | |
BCBS
| Facility | $896.65 | $896.65 | $896.65 | |
BCBS
| Professional | $896.65 | $896.65 | $896.65 | |
Cigna
| Facility | $930.44 | $930.44 | $930.44 | |
Cigna
| Professional | $679.22 | $679.22 | $930.44 | |
United
| Professional | $384.84 | $577.25 | $913.07 |