| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $245.44 | $245.44 | $245.44 | |
BCBS
| Facility | $0.02 | $564.62 | $637.44 | |
BCBS
| Professional | $364.84 | $364.84 | $364.84 | |
Cigna
| Facility | $814.00 | $814.00 | $814.00 | |
United
| Professional | $115.65 | $165.21 | $397.14 |