| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $428.95 | $428.95 | $670.73 | |
BCBS
| Facility | $748.04 | $748.04 | $748.04 | |
BCBS
| Professional | $748.04 | $748.04 | $748.04 | |
Cigna
| Facility | $550.80 | $550.80 | $842.59 | |
Cigna
| Professional | $402.09 | $402.09 | $550.80 | |
United
| Professional | $345.38 | $382.15 | $424.26 |