| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $549.54 | $1,258.93 | |
Aetna
| Professional | $107.15 | $263.03 | $660.69 | |
BCBS
| Facility | $263.03 | $416.87 | $1,380.38 | |
BCBS
| Professional | $107.15 | $138.04 | $389.05 | |
Cigna
| Facility | $154.88 | $537.03 | $1,258.93 | |
Cigna
| Professional | $83.18 | $389.05 | $776.25 | |
United
| Facility | $95.50 | $323.59 | $389.05 | |
United
| Professional | $66.07 | $138.04 | $323.59 |