| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.00 | $914.00 | $914.00 | |
BCBS
| Facility | $914.00 | $914.00 | $914.00 | |
BCBS
| Professional | $914.00 | $914.00 | $914.00 | |
Cigna
| Facility | $594.10 | $623.80 | $693.31 | |
Cigna
| Professional | $391.26 | $416.22 | $1,095.52 | |
United
| Professional | $383.88 | $548.40 | $1,466.56 |