| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.83 | $316.05 | $549.66 | |
Aetna
| Professional | $214.37 | $316.05 | $316.05 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $169.71 | $228.75 | $269.93 | |
Cigna
| Facility | $178.64 | $223.30 | $594.87 | |
United
| Facility | $98.94 | $98.94 | $247.35 | |
United
| Professional | $115.43 | $115.43 | $274.83 |