| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.02 | $524.02 | $524.02 | |
Aetna
| Professional | $524.02 | $524.02 | $529.26 | |
BCBS
| Professional | $1,173.00 | $1,380.00 | $1,380.00 | |
Cigna
| Facility | $499.30 | $499.30 | $499.30 | |
Cigna
| Professional | $529.26 | $529.26 | $748.95 | |
United
| Professional | $529.26 | $529.26 | $529.26 |