| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.57 | $188.57 | $188.57 | |
Aetna
| Professional | $184.75 | $184.75 | $184.75 | |
BCBS
| Facility | $308.26 | $308.26 | $369.92 | |
BCBS
| Professional | $235.71 | $292.00 | $603.00 | |
Cigna
| Facility | $376.85 | $376.85 | $376.85 | |
Cigna
| Professional | $123.50 | $306.77 | $429.09 | |
United
| Professional | $113.14 | $151.79 | $377.14 |