| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $478.63 | $776.25 | |
Aetna
| Professional | $389.05 | $489.78 | $776.25 | |
BCBS
| Facility | $660.69 | $660.69 | $660.69 | |
BCBS
| Professional | $660.69 | $660.69 | $660.69 | |
Cigna
| Facility | $501.19 | $501.19 | $501.19 | |
Cigna
| Professional | $363.08 | $363.08 | $501.19 | |
United
| Facility | $269.15 | $691.83 | $1,096.48 | |
United
| Professional | $269.15 | $407.38 | $616.60 |