| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $275.42 | |
Aetna
| Professional | $147.91 | $275.42 | $316.23 | |
BCBS
| Facility | $173.78 | $173.78 | $173.78 | |
BCBS
| Professional | $199.53 | $208.93 | $208.93 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Facility | $269.15 | $269.15 | $338.84 | |
United
| Professional | $109.65 | $218.78 | $302.00 |