| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $502.50 | $875.10 | $1,814.28 | |
Aetna
| Professional | $420.00 | $492.00 | $564.00 | |
BCBS
| Facility | $619.77 | $944.40 | $2,895.24 | |
BCBS
| Professional | $240.00 | $273.60 | $738.70 | |
Cigna
| Facility | $428.85 | $930.58 | $1,841.78 | |
Cigna
| Professional | $720.29 | $731.09 | $875.93 | |
United
| Facility | $540.00 | $540.00 | $540.00 | |
United
| Professional | $252.00 | $360.00 | $690.00 |