| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.38 | $210.38 | $210.38 | |
BCBS
| Facility | $360.00 | $360.00 | $360.00 | |
BCBS
| Professional | $360.00 | $360.00 | $360.00 | |
Cigna
| Professional | $220.00 | $220.00 | $400.00 | |
United
| Professional | $170.34 | $212.77 | $253.18 |