| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.92 | $382.32 | $424.11 | |
Aetna
| Professional | $165.05 | $382.32 | $424.11 | |
BCBS
| Facility | $243.95 | $243.95 | $243.95 | |
BCBS
| Professional | $243.95 | $243.95 | $243.95 | |
Cigna
| Facility | $135.80 | $158.47 | $425.18 | |
Cigna
| Professional | $95.14 | $218.50 | $397.28 | |
United
| Facility | $188.03 | $188.03 | $208.92 | |
United
| Professional | $89.50 | $142.51 | $427.53 |