| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.63 | $483.63 | $755.67 | |
Aetna
| Professional | $453.99 | $753.83 | $937.62 | |
BCBS
| Facility | $668.76 | $668.76 | $668.76 | |
BCBS
| Professional | $668.76 | $668.76 | $668.76 | |
Cigna
| Facility | $582.20 | $582.20 | $582.20 | |
Cigna
| Professional | $425.01 | $425.01 | $582.20 | |
United
| Facility | $500.36 | $500.36 | $500.36 | |
United
| Professional | $287.02 | $430.54 | $663.45 |