| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.50 | $203.50 | $203.50 | |
Aetna
| Professional | $201.06 | $203.50 | $203.50 | |
BCBS
| Facility | $278.60 | $278.60 | $334.32 | |
BCBS
| Professional | $254.38 | $315.00 | $651.00 | |
Cigna
| Facility | $406.85 | $406.85 | $406.85 | |
Cigna
| Professional | $330.74 | $330.74 | $437.62 | |
United
| Professional | $85.47 | $93.10 | $150.59 |