| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $425.00 | $425.00 | $425.00 | |
Aetna
| Professional | $415.00 | $425.00 | $425.00 | |
BCBS
| Facility | $500.00 | $500.00 | $500.00 | |
BCBS
| Professional | $500.00 | $500.00 | $500.00 | |
Cigna
| Facility | $312.31 | $432.81 | $432.81 | |
Cigna
| Professional | $432.81 | $432.81 | $432.81 | |
United
| Professional | $450.90 | $500.00 | $500.00 |