| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.09 | $209.09 | $209.09 | |
Aetna
| Professional | $99.07 | $209.09 | $209.09 | |
BCBS
| Facility | $243.64 | $295.67 | $397.78 | |
BCBS
| Professional | $119.00 | $170.00 | $200.60 | |
Cigna
| Facility | $142.58 | $288.24 | $347.17 | |
Cigna
| Professional | $112.92 | $149.16 | $796.03 | |
United
| Facility | $115.32 | $115.32 | $115.32 | |
United
| Professional | $82.46 | $129.28 | $176.70 |