| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $322.13 | $322.13 | $564.12 | |
BCBS
| Facility | $629.15 | $629.15 | $629.15 | |
BCBS
| Professional | $629.15 | $629.15 | $629.15 | |
Cigna
| Facility | $402.56 | $402.56 | $778.80 | |
Cigna
| Professional | $293.87 | $293.87 | $402.56 | |
United
| Professional | $290.49 | $428.54 | $495.28 |