| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $457.09 | $457.09 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $501.19 | $501.19 | $501.19 | |
United
| Facility | $354.81 | $354.81 | $354.81 | |
United
| Professional | $426.58 | $457.09 | $537.03 |