| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.29 | $346.29 | $478.20 | |
Aetna
| Professional | $175.00 | $266.58 | $346.29 | |
BCBS
| Facility | $313.31 | $313.31 | $313.31 | |
BCBS
| Professional | $327.05 | $480.95 | $480.95 | |
CareSource
| Facility | $274.83 | $274.83 | $329.80 | |
CareSource
| Professional | $178.64 | $178.64 | $274.83 | |
Cigna
| Facility | $196.65 | $255.64 | $422.79 | |
Cigna
| Professional | $176.34 | $275.75 | $413.40 | |
United
| Professional | $115.43 | $164.90 | $274.83 |