| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.31 | $379.38 | $420.84 | |
Aetna
| Professional | $163.77 | $379.38 | $420.84 | |
BCBS
| Facility | $207.31 | $207.31 | $207.31 | |
BCBS
| Professional | $207.31 | $207.31 | $207.31 | |
Cigna
| Facility | $134.75 | $157.25 | $643.53 | |
Cigna
| Professional | $94.40 | $216.80 | $592.99 | |
United
| Professional | $87.07 | $215.70 | $474.53 |