| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $390.63 | $390.63 | $684.09 | |
BCBS
| Facility | $762.94 | $762.94 | $762.94 | |
BCBS
| Professional | $762.94 | $762.94 | $762.94 | |
Cigna
| Facility | $379.03 | $379.03 | $644.53 | |
Cigna
| Professional | $276.69 | $276.69 | $581.87 | |
United
| Professional | $264.20 | $389.76 | $450.45 |