| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.32 | $351.95 | $390.41 | |
Aetna
| Professional | $151.93 | $351.95 | $390.41 | |
BCBS
| Facility | $690.31 | $690.31 | $690.31 | |
BCBS
| Professional | $690.31 | $690.31 | $690.31 | |
Cigna
| Facility | $125.01 | $131.26 | $161.26 | |
Cigna
| Professional | $82.33 | $148.19 | $329.32 | |
United
| Professional | $77.97 | $96.16 | $328.28 |