| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $573.46 | $573.46 | $573.46 | |
BCBS
| Facility | $899.00 | $899.00 | $899.00 | |
BCBS
| Professional | $899.00 | $899.00 | $899.00 | |
Cigna
| Professional | $365.00 | $365.00 | $900.00 | |
United
| Professional | $468.46 | $585.11 | $696.25 |