| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $616.60 | $616.60 | |
Aetna
| Professional | $89.13 | $112.20 | $338.84 | |
BCBS
| Facility | $123.03 | $158.49 | $173.78 | |
BCBS
| Professional | $77.62 | $102.33 | $147.91 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $67.61 | $81.28 | $208.93 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $57.54 | $81.28 | $199.53 |