| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,419.20 | $3,419.20 | $3,419.20 | |
Aetna
| Professional | $124.42 | $125.66 | $159.12 | |
BCBS
| Professional | $238.00 | $286.00 | $432.00 | |
Cigna
| Professional | $171.02 | $249.84 | $343.88 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 | |
United
| Professional | $139.46 | $253.54 | $445.89 |