| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.15 | $645.15 | $645.15 | |
Aetna
| Professional | $327.66 | $645.15 | $645.15 | |
BCBS
| Professional | $571.23 | $571.23 | $571.23 | |
Cigna
| Facility | $572.20 | $572.20 | $884.52 | |
Cigna
| Professional | $417.71 | $572.20 | $774.52 | |
United
| Professional | $255.26 | $382.88 | $611.37 |