| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.74 | $250.74 | $439.11 | |
BCBS
| Facility | $489.72 | $489.72 | $489.72 | |
BCBS
| Professional | $489.72 | $489.72 | $489.72 | |
Cigna
| Facility | $344.22 | $344.22 | $664.27 | |
Cigna
| Professional | $251.28 | $251.28 | $344.22 | |
United
| Professional | $226.12 | $250.18 | $385.52 |