| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,263.00 | $1,263.00 | $1,263.00 | |
Aetna
| Professional | $641.46 | $1,263.00 | $1,263.00 | |
BCBS
| Professional | $1,118.28 | $1,118.28 | $1,118.28 | |
Cigna
| Facility | $967.10 | $967.10 | $1,494.39 | |
Cigna
| Professional | $705.98 | $967.10 | $1,430.08 | |
United
| Professional | $444.00 | $749.57 | $1,063.42 |