| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.62 | $461.62 | $512.40 | |
Aetna
| Professional | $461.62 | $461.62 | $512.40 | |
BCBS
| Facility | $334.09 | $334.09 | $367.50 | |
Cigna
| Facility | $315.30 | $506.88 | $506.88 | |
Cigna
| Professional | $506.88 | $506.88 | $506.88 | |
United
| Professional | $452.57 | $502.81 | $543.08 |