| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $338.84 | $389.05 | $676.08 | |
BCBS
| Facility | $676.08 | $676.08 | $676.08 | |
BCBS
| Professional | $676.08 | $676.08 | $676.08 | |
Cigna
| Facility | $416.87 | $416.87 | $870.96 | |
Cigna
| Professional | $309.03 | $309.03 | $660.69 | |
United
| Facility | $251.19 | $446.68 | $549.54 | |
United
| Professional | $302.00 | $331.13 | $512.86 |