| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.41 | $150.41 | $150.41 | |
Aetna
| Professional | $150.41 | $172.89 | $233.16 | |
BCBS
| Facility | $240.98 | $470.67 | $544.25 | |
BCBS
| Professional | $204.83 | $240.98 | $240.98 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
United
| Professional | $104.78 | $192.78 | $240.98 |