| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.92 | $354.49 | $393.23 | |
Aetna
| Professional | $153.03 | $153.03 | $153.03 | |
BCBS
| Facility | $114.43 | $114.43 | $114.43 | |
BCBS
| Professional | $114.43 | $114.43 | $114.43 | |
Cigna
| Facility | $125.91 | $132.21 | $146.94 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
United
| Professional | $81.36 | $102.82 | $294.05 |