| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $756.82 | $756.82 | $756.82 | |
Aetna
| Professional | $358.26 | $756.82 | $756.82 | |
BCBS
| Professional | $555.97 | $555.97 | $555.97 | |
Cigna
| Facility | $524.34 | $524.34 | $926.61 | |
Cigna
| Professional | $382.77 | $524.34 | $811.37 | |
United
| Professional | $279.08 | $414.90 | $630.61 |