| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.50 | $476.72 | $528.82 | |
Aetna
| Professional | $205.80 | $286.55 | $528.82 | |
BCBS
| Facility | $260.50 | $260.50 | $260.50 | |
BCBS
| Professional | $260.50 | $260.50 | $260.50 | |
Cigna
| Professional | $111.52 | $200.74 | $374.28 | |
United
| Facility | $234.45 | $234.45 | $260.50 | |
United
| Professional | $109.41 | $156.30 | $442.85 |