| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $980.30 | $980.30 | $980.30 | |
Aetna
| Professional | $464.05 | $609.12 | $980.30 | |
BCBS
| Professional | $674.40 | $674.40 | $674.40 | |
Cigna
| Facility | $702.03 | $702.03 | $1,081.08 | |
Cigna
| Professional | $512.48 | $702.03 | $946.64 | |
United
| Professional | $321.20 | $481.81 | $740.18 |