| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $694.98 | $694.98 | $694.98 | |
Aetna
| Professional | $213.84 | $215.97 | $222.39 | |
BCBS
| Facility | $206.55 | $212.36 | $224.38 | |
BCBS
| Professional | $213.84 | $213.84 | $213.84 | |
Cigna
| Facility | $201.74 | $213.84 | $213.84 | |
Cigna
| Professional | $213.84 | $213.84 | $213.84 | |
United
| Professional | $213.84 | $213.84 | $213.84 |