| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,034.13 | $5,034.13 | $5,034.13 | |
Aetna
| Professional | $132.43 | $132.43 | $231.92 | |
BCBS
| Facility | $258.64 | $258.64 | $258.64 | |
BCBS
| Professional | $258.64 | $258.64 | $258.64 | |
Cigna
| Facility | $195.78 | $195.78 | $289.74 | |
Cigna
| Professional | $166.41 | $166.41 | $235.68 | |
United
| Professional | $107.02 | $118.40 | $182.45 |