| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.12 | $735.88 | $816.30 | |
Aetna
| Professional | $317.67 | $735.88 | $816.30 | |
BCBS
| Facility | $402.12 | $402.12 | $402.12 | |
BCBS
| Professional | $402.12 | $402.12 | $402.12 | |
Cigna
| Facility | $261.38 | $305.02 | $818.38 | |
Cigna
| Professional | $183.13 | $420.70 | $764.90 | |
United
| Professional | $168.89 | $274.30 | $784.50 |