| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,685.93 | $1,685.93 | $1,685.93 | |
Aetna
| Professional | $856.26 | $1,685.93 | $1,685.93 | |
BCBS
| Professional | $1,492.75 | $1,492.75 | $1,492.75 | |
Cigna
| Facility | $1,576.65 | $1,576.65 | $2,437.29 | |
Cigna
| Professional | $1,150.95 | $1,576.65 | $2,134.17 | |
United
| Professional | $624.00 | $1,000.57 | $1,442.35 |