| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $338.84 | $524.81 | |
Aetna
| Professional | $263.03 | $346.74 | $549.54 | |
BCBS
| Facility | $467.74 | $467.74 | $467.74 | |
BCBS
| Professional | $467.74 | $467.74 | $467.74 | |
Cigna
| Facility | $426.58 | $426.58 | $426.58 | |
Cigna
| Professional | $309.03 | $309.03 | $426.58 | |
United
| Facility | $380.19 | $478.63 | $812.83 | |
United
| Professional | $199.53 | $295.12 | $467.74 |