| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $313.36 | $313.36 | $548.77 | |
BCBS
| Facility | $612.03 | $612.03 | $612.03 | |
BCBS
| Professional | $612.03 | $612.03 | $612.03 | |
Cigna
| Facility | $468.67 | $468.67 | $755.89 | |
Cigna
| Professional | $342.13 | $342.13 | $468.67 | |
United
| Professional | $282.58 | $416.88 | $481.80 |