| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $504.00 | $504.00 | $504.00 | |
Aetna
| Professional | $504.00 | $504.00 | $504.00 | |
BCBS
| Professional | $630.00 | $781.00 | $1,613.00 | |
Cigna
| Facility | $1,007.71 | $1,007.71 | $1,007.71 | |
Cigna
| Professional | $579.03 | $723.78 | $1,083.97 | |
United
| Professional | $211.68 | $211.68 | $504.00 |