| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $1,958.00 | $4,050.00 | |
Aetna
| Professional | $665.00 | $3,011.00 | $5,607.00 | |
BCBS
| Facility | $67.69 | $126.16 | $256.04 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $882.00 | $3,474.00 | $9,160.00 |