| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,567.60 | $4,567.60 | $4,567.60 | |
Aetna
| Professional | $250.13 | $256.31 | $711.20 | |
Aetna
| Professional | AS | $116.40 | $128.85 | $240.95 |
BCBS
| Professional | $492.00 | $590.00 | $893.00 | |
Cigna
| Professional | $349.04 | $496.68 | $693.61 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $361.90 | $523.78 | $993.20 |