| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $255.05 | $255.05 | $285.29 | |
Aetna
| Professional | $121.45 | $159.04 | $255.05 | |
BCBS
| Facility | $186.91 | $186.91 | $186.91 | |
BCBS
| Professional | $163.96 | $218.62 | $245.94 | |
Cigna
| Facility | $106.57 | $211.56 | $341.88 | |
United
| Facility | $163.96 | $163.96 | $163.96 | |
United
| Professional | $68.86 | $101.21 | $223.69 |