| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.65 | $735.26 | $1,314.12 | |
Aetna
| Professional | $145.12 | $174.14 | $259.13 | |
BCBS
| Facility | $244.00 | $614.00 | $1,880.35 | |
BCBS
| Professional | $109.93 | $127.51 | $482.14 | |
Cigna
| Facility | $397.62 | $783.48 | $1,410.26 | |
Cigna
| Professional | $587.50 | $587.60 | $719.26 | |
United
| Facility | $202.50 | $202.50 | $202.50 | |
United
| Professional | $87.07 | $124.39 | $353.87 |