| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,443.96 | $1,443.96 | $2,113.12 | |
Aetna
| Professional | $1,443.96 | $1,760.93 | $2,113.12 | |
BCBS
| Professional | $692.66 | $692.66 | $692.66 | |
Cigna
| Facility | $482.77 | $482.77 | $482.77 | |
Cigna
| Professional | $410.35 | $410.35 | $482.77 | |
United
| Professional | $256.95 | $437.88 | $673.66 |