| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.26 | $220.26 | $304.17 | |
Aetna
| Professional | $104.89 | $169.57 | $220.26 | |
BCBS
| Facility | $199.28 | $199.28 | $199.28 | |
BCBS
| Professional | $157.33 | $209.78 | $236.00 | |
Cigna
| Facility | $113.63 | $131.81 | $261.35 | |
United
| Facility | $157.33 | $218.51 | $218.51 | |
United
| Professional | $73.42 | $104.89 | $175.08 |