| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.30 | $777.01 | $777.02 | |
Aetna
| Professional | $367.82 | $777.02 | $777.02 | |
BCBS
| Professional | $482.06 | $482.06 | $482.06 | |
Cigna
| Facility | $501.14 | $501.14 | $928.63 | |
Cigna
| Professional | $365.83 | $501.14 | $813.15 | |
United
| Professional | $266.74 | $400.12 | $602.72 |