| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $575.91 | $636.11 | $826.72 | |
BCBS
| Facility | $111.94 | $111.94 | $111.94 | |
BCBS
| Professional | $82.88 | $82.88 | $82.88 | |
Cigna
| Facility | $766.64 | $766.64 | $766.64 | |
Cigna
| Professional | $85.66 | $651.64 | $766.64 | |
United
| Professional | $350.07 | $437.59 | $700.15 |