| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.25 | $529.95 | $1,080.66 | |
Aetna
| Professional | $273.52 | $316.51 | $353.63 | |
BCBS
| Facility | $185.49 | $614.00 | $1,656.78 | |
BCBS
| Professional | $45.77 | $45.77 | $286.81 | |
Cigna
| Facility | $296.91 | $660.37 | $1,117.56 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
United
| Facility | $351.68 | $351.68 | $351.68 | |
United
| Professional | $164.12 | $228.30 | $468.90 |