| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,350.10 | $1,350.10 | $1,350.10 | |
Aetna
| Professional | $639.10 | $1,350.10 | $1,350.10 | |
BCBS
| Professional | $940.64 | $940.64 | $940.64 | |
Cigna
| Facility | $831.10 | $831.10 | $1,488.90 | |
Cigna
| Professional | $606.70 | $831.10 | $1,424.82 | |
United
| Professional | $442.36 | $663.55 | $1,028.10 |