| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.36 | $245.36 | $245.36 | |
Aetna
| Professional | $201.87 | $213.28 | $215.30 | |
BCBS
| Facility | $8,479.00 | $11,083.00 | $22,940.50 | |
BCBS
| Professional | $161.42 | $606.63 | $967.85 | |
Cigna
| Professional | $190.36 | $190.36 | $216.31 | |
United
| Facility | $31,901.21 | $31,901.21 | $31,901.21 | |
United
| Professional | $113.98 | $167.39 | $375.91 |