| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.17 | $173.17 | $173.17 | |
Aetna
| Professional | $173.17 | $173.17 | $322.45 | |
BCBS
| Facility | $296.94 | $296.94 | $356.33 | |
BCBS
| Professional | $216.46 | $268.00 | $554.00 | |
Cigna
| Facility | $346.14 | $346.14 | $346.14 | |
Cigna
| Professional | $119.08 | $281.75 | $413.57 | |
United
| Professional | $103.90 | $146.22 | $346.34 |