| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.00 | $579.60 | $1,008.00 | |
Aetna
| Professional | $428.40 | $579.60 | $579.60 | |
BCBS
| Facility | $537.89 | $652.76 | $878.17 | |
BCBS
| Professional | $327.02 | $400.39 | $573.83 | |
Cigna
| Facility | $321.05 | $409.50 | $1,580.40 | |
Cigna
| Professional | $222.59 | $350.35 | $723.78 | |
United
| Professional | $211.68 | $252.00 | $504.00 |