| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $268.86 | $268.86 | $470.85 | |
BCBS
| Facility | $525.12 | $525.12 | $525.12 | |
BCBS
| Professional | $525.12 | $525.12 | $525.12 | |
Cigna
| Facility | $260.88 | $260.88 | $587.07 | |
Cigna
| Professional | $190.44 | $190.44 | $260.88 | |
United
| Professional | $181.84 | $201.20 | $310.04 |