| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $609.12 | $609.12 | $970.79 | |
Aetna
| Professional | $498.06 | $623.54 | $970.79 | |
BCBS
| Facility | $842.28 | $842.28 | $842.28 | |
BCBS
| Professional | $842.28 | $842.28 | $842.28 | |
Cigna
| Facility | $702.03 | $702.03 | $702.03 | |
Cigna
| Professional | $512.48 | $512.48 | $702.03 | |
United
| Professional | $321.20 | $516.01 | $809.44 |