| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,370.00 | $4,370.00 | $4,370.00 | |
Aetna
| Professional | $562.40 | $623.20 | $623.20 | |
BCBS
| Facility | $0.02 | $1,558.42 | $1,731.58 | |
Cigna
| Facility | $2,247.02 | $2,247.02 | $2,247.02 | |
Cigna
| Professional | $873.50 | $873.50 | $1,091.86 | |
United
| Facility | $912.00 | $912.00 | $912.00 | |
United
| Professional | $266.00 | $456.00 | $1,096.15 |