| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $4,937.68 | |
Aetna
| Professional | $570.53 | $751.18 | $790.81 | |
Aetna
| Professional | 55 | $105.51 | $112.68 | $118.62 |
BCBS
| Professional | $687.17 | $808.44 | $1,288.39 | |
BCBS
| Professional | 55 | $113.18 | $161.69 | $257.69 |
Cigna
| Professional | $537.34 | $797.87 | $1,421.43 | |
United
| Facility | $3,219.00 | $7,228.00 | $12,680.00 | |
United
| Professional | $530.44 | $839.11 | $1,176.02 |