| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $520.00 | $951.60 | $1,055.59 | |
Aetna
| Professional | $410.80 | $951.60 | $1,055.59 | |
BCBS
| Facility | $641.33 | $641.33 | $641.33 | |
BCBS
| Professional | $641.33 | $641.33 | $641.33 | |
Cigna
| Professional | $222.58 | $236.82 | $890.33 | |
United
| Professional | $218.40 | $312.00 | $884.00 |