| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $897.00 | $897.00 | $897.00 | |
Aetna
| Professional | $897.00 | $897.00 | $897.00 | |
BCBS
| Professional | $1,121.25 | $1,390.00 | $2,870.00 | |
Cigna
| Facility | $1,794.20 | $1,794.20 | $1,794.20 | |
Cigna
| Professional | $1,030.84 | $1,288.56 | $1,928.18 | |
United
| Professional | $376.74 | $376.74 | $897.00 |