| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $691.83 | |
Aetna
| Professional | $691.83 | $691.83 | $1,000.00 | |
BCBS
| Facility | $501.19 | $616.60 | $831.76 | |
BCBS
| Professional | $489.78 | $489.78 | $630.96 | |
Cigna
| Professional | $239.88 | $239.88 | $512.86 | |
United
| Facility | $537.03 | $812.83 | $1,023.29 | |
United
| Professional | $436.52 | $436.52 | $524.81 |