| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.63 | $261.01 | $289.54 | |
Aetna
| Professional | $112.68 | $261.01 | $289.54 | |
BCBS
| Facility | $94.22 | $94.22 | $94.22 | |
BCBS
| Professional | $94.22 | $94.22 | $94.22 | |
Cigna
| Facility | $92.71 | $97.35 | $108.19 | |
United
| Professional | $59.90 | $85.58 | $213.95 |