| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $719.29 | $719.30 | $719.30 | |
Aetna
| Professional | $719.30 | $719.30 | $719.30 | |
BCBS
| Facility | $647.37 | $647.37 | $971.06 | |
BCBS
| Professional | $647.37 | $647.37 | $660.32 | |
Cigna
| Facility | $611.41 | $611.41 | $611.41 | |
Cigna
| Professional | $611.41 | $611.41 | $611.41 | |
United
| Professional | $683.34 | $683.34 | $785.84 |