| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.40 | $370.39 | $410.87 | |
Aetna
| Professional | $159.90 | $370.39 | $410.87 | |
BCBS
| Facility | $160.31 | $160.31 | $160.31 | |
BCBS
| Professional | $160.31 | $160.31 | $160.31 | |
Cigna
| Facility | $131.56 | $153.53 | $284.45 | |
Cigna
| Professional | $86.65 | $155.97 | $346.62 | |
United
| Professional | $85.01 | $114.23 | $324.16 |