| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.45 | $531.45 | $531.45 | |
Aetna
| Professional | $356.78 | $531.45 | $531.45 | |
BCBS
| Professional | $495.10 | $495.10 | $495.10 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $52.19 | $316.74 | $791.25 | |
United
| Professional | $176.84 | $265.26 | $551.12 |