| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $745.40 | $745.40 | $745.40 | |
Aetna
| Professional | $352.85 | $745.40 | $745.40 | |
BCBS
| Professional | $615.14 | $615.14 | $615.14 | |
Cigna
| Facility | $512.80 | $512.80 | $792.74 | |
Cigna
| Professional | $374.35 | $512.80 | $694.15 | |
United
| Professional | $238.89 | $358.33 | $577.55 |