| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.17 | $594.17 | $594.17 | |
Aetna
| Professional | $391.35 | $587.58 | $594.17 | |
BCBS
| Professional | $581.90 | $581.90 | $581.90 | |
Cigna
| Facility | $370.80 | $370.80 | $370.80 | |
Cigna
| Professional | $57.24 | $370.80 | $862.50 | |
United
| Professional | $211.05 | $315.94 | $647.48 |