| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $327.83 | $327.83 | $346.56 | |
BCBS
| Facility | $0.02 | $960.34 | $1,084.18 | |
BCBS
| Professional | $620.54 | $620.54 | $620.54 | |
Cigna
| Facility | $1,384.53 | $1,384.53 | $1,384.53 | |
United
| Professional | $196.70 | $281.00 | $675.47 |