| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.64 | $331.64 | $518.19 | |
Aetna
| Professional | $325.25 | $518.19 | $642.96 | |
BCBS
| Facility | $458.59 | $458.59 | $458.59 | |
BCBS
| Professional | $458.59 | $458.59 | $458.59 | |
Cigna
| Facility | $400.78 | $400.78 | $400.78 | |
Cigna
| Professional | $292.57 | $292.57 | $400.78 | |
United
| Professional | $196.82 | $295.24 | $454.95 |