| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $528.19 | $542.42 | $582.70 | |
Aetna
| Professional | $453.54 | $528.19 | $693.57 | |
BCBS
| Facility | $560.05 | $560.05 | $1,080.92 | |
BCBS
| Professional | $560.05 | $580.86 | $816.68 | |
Cigna
| Facility | $545.00 | $545.00 | $545.00 | |
Cigna
| Professional | $66.06 | $545.00 | $866.25 | |
United
| Professional | $386.78 | $515.86 | $904.77 |