| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $494.43 | $494.43 | $494.43 | |
Aetna
| Professional | $494.43 | $494.43 | $495.55 | |
BCBS
| Professional | $476.84 | $560.99 | $560.99 | |
Cigna
| Facility | $467.50 | $467.50 | $467.50 | |
Cigna
| Professional | $495.55 | $495.55 | $701.24 | |
United
| Professional | $495.55 | $495.55 | $495.55 |