| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $664.27 | $822.65 | $953.55 | |
BCBS
| Facility | $129.11 | $129.11 | $129.11 | |
BCBS
| Professional | $95.59 | $95.59 | $95.59 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $98.81 | $200.00 | $200.00 | |
United
| Professional | $403.92 | $443.73 | $807.37 |