| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.79 | $543.79 | $543.79 | |
Aetna
| Professional | $257.42 | $543.79 | $543.79 | |
BCBS
| Professional | $448.76 | $448.76 | $448.76 | |
Cigna
| Facility | $380.61 | $380.61 | $602.54 | |
Cigna
| Professional | $277.85 | $277.85 | $698.63 | |
United
| Professional | $178.52 | $267.77 | $414.10 |