| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.00 | $914.00 | $914.00 | |
Aetna
| Professional | $914.00 | $914.00 | $914.00 | |
BCBS
| Professional | $1,142.50 | $1,417.00 | $2,925.00 | |
Cigna
| Facility | $1,827.70 | $1,827.70 | $1,827.70 | |
Cigna
| Professional | $1,486.49 | $1,486.49 | $1,965.42 | |
United
| Professional | $383.88 | $383.88 | $914.00 |