| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.92 | $240.26 | $417.84 | |
Aetna
| Professional | $162.96 | $240.26 | $240.26 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $77.15 | $113.37 | $133.78 | |
Cigna
| Facility | $153.68 | $180.03 | $655.16 | |
Cigna
| Professional | $92.28 | $160.63 | $1,165.75 | |
United
| Facility | $75.20 | $75.20 | $188.03 | |
United
| Professional | $87.75 | $119.71 | $208.92 |