| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $503.40 | $503.40 | $503.40 | |
BCBS
| Professional | $629.25 | $780.00 | $1,611.00 | |
Cigna
| Facility | $1,007.01 | $1,007.01 | $1,007.01 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
United
| Professional | $211.43 | $211.43 | $503.40 |