| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $509.30 | $509.30 | $811.70 | |
Aetna
| Professional | $509.30 | $588.20 | $814.73 | |
BCBS
| Facility | $704.25 | $704.25 | $704.25 | |
BCBS
| Professional | $704.25 | $704.25 | $704.25 | |
Cigna
| Facility | $567.88 | $567.88 | $567.88 | |
Cigna
| Professional | $414.55 | $414.55 | $852.36 | |
United
| Professional | $302.26 | $431.44 | $698.66 |