| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $629.92 | $629.92 | $984.26 | |
Aetna
| Professional | $624.77 | $915.94 | $1,133.49 | |
BCBS
| Facility | $871.06 | $871.06 | $871.06 | |
BCBS
| Professional | $871.06 | $871.06 | $871.06 | |
Cigna
| Facility | $702.38 | $702.38 | $702.38 | |
Cigna
| Professional | $512.74 | $512.74 | $702.38 | |
United
| Professional | $373.85 | $582.87 | $887.90 |