| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $380.19 | $416.87 | |
Aetna
| Professional | $154.88 | $165.96 | $380.19 | |
BCBS
| Facility | $218.78 | $218.78 | $218.78 | |
BCBS
| Professional | $218.78 | $218.78 | $218.78 | |
Cigna
| Facility | $134.90 | $134.90 | $141.25 | |
Cigna
| Professional | $89.13 | $165.96 | $309.03 | |
United
| Facility | $186.21 | $186.21 | $251.19 | |
United
| Professional | $87.10 | $123.03 | $467.74 |