| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $1,390.80 | $1,542.80 | |
Aetna
| Professional | $600.40 | $1,390.80 | $1,542.80 | |
BCBS
| Facility | $344.66 | $344.66 | $344.66 | |
BCBS
| Professional | $344.66 | $344.66 | $344.66 | |
Cigna
| Facility | $494.00 | $518.70 | $576.50 | |
United
| Professional | $319.20 | $456.00 | $1,297.30 |