| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,128.90 | $1,128.90 | $1,977.00 | |
BCBS
| Facility | $2,204.87 | $2,204.87 | $2,204.87 | |
BCBS
| Professional | $2,204.87 | $2,204.87 | $2,204.87 | |
Cigna
| Facility | $1,576.65 | $1,576.65 | $2,220.73 | |
Cigna
| Professional | $1,150.95 | $1,150.95 | $1,576.65 | |
United
| Professional | $845.97 | $936.00 | $1,442.35 |