| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.50 | $368.75 | $428.40 | |
Aetna
| Professional | $159.19 | $368.75 | $409.05 | |
BCBS
| Facility | $201.50 | $201.50 | $201.50 | |
BCBS
| Professional | $201.50 | $201.50 | $201.50 | |
Cigna
| Facility | $130.97 | $152.85 | $410.08 | |
Cigna
| Professional | $91.71 | $210.69 | $383.07 | |
United
| Professional | $86.32 | $137.44 | $403.00 |