| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $583.76 | $583.76 | $930.36 | |
Aetna
| Professional | $564.66 | $665.85 | $930.36 | |
BCBS
| Facility | $807.21 | $807.21 | $807.21 | |
BCBS
| Professional | $807.21 | $807.21 | $807.21 | |
Cigna
| Facility | $740.83 | $740.83 | $740.83 | |
Cigna
| Professional | $540.80 | $540.80 | $740.83 | |
United
| Professional | $346.45 | $508.83 | $800.80 |