| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.88 | $379.65 | $421.14 | |
Aetna
| Professional | $163.89 | $379.65 | $421.14 | |
BCBS
| Facility | $808.54 | $808.54 | $808.54 | |
BCBS
| Professional | $808.54 | $808.54 | $808.54 | |
Cigna
| Facility | $134.85 | $157.37 | $422.21 | |
Cigna
| Professional | $94.55 | $217.14 | $394.81 | |
United
| Professional | $87.13 | $141.52 | $424.55 |