| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $616.60 | $616.60 | $812.83 | |
BCBS
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Cigna
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
United
| Professional | $707.95 | $707.95 | $707.95 |