| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.00 | $605.73 | $671.93 | |
Aetna
| Professional | $261.49 | $605.73 | $671.93 | |
BCBS
| Facility | $282.04 | $282.04 | $282.04 | |
BCBS
| Professional | $282.04 | $282.04 | $282.04 | |
Cigna
| Facility | $150.00 | $225.91 | $277.54 | |
Cigna
| Professional | $141.63 | $253.86 | $566.57 | |
United
| Professional | $92.31 | $148.94 | $496.50 |