| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.70 | $554.40 | $765.60 | |
Aetna
| Professional | $106.61 | $426.80 | $554.40 | |
BCBS
| Facility | $501.60 | $501.60 | $501.60 | |
BCBS
| Professional | $132.33 | $176.44 | $176.44 | |
Cigna
| Facility | $149.10 | $328.58 | $657.80 | |
Cigna
| Professional | $91.76 | $389.24 | $661.33 | |
United
| Professional | $105.76 | $184.80 | $264.00 |