| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $262.79 | $262.79 | $460.21 | |
BCBS
| Facility | $513.26 | $513.26 | $513.26 | |
BCBS
| Professional | $513.26 | $513.26 | $513.26 | |
Cigna
| Facility | $420.61 | $420.61 | $578.14 | |
Cigna
| Professional | $357.52 | $357.52 | $420.61 | |
United
| Professional | $213.41 | $314.83 | $363.85 |