| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $755.24 | $755.24 | $755.24 | |
Aetna
| Professional | $383.58 | $755.24 | $755.24 | |
BCBS
| Professional | $668.70 | $668.70 | $668.70 | |
Cigna
| Facility | $695.50 | $695.50 | $1,075.13 | |
Cigna
| Professional | $507.72 | $695.50 | $941.42 | |
United
| Professional | $274.49 | $448.22 | $634.47 |