| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.33 | $192.33 | $337.34 | |
BCBS
| Professional | $373.45 | $373.45 | $373.45 | |
Cigna
| Facility | $267.62 | $267.62 | $432.91 | |
Cigna
| Professional | $267.62 | $267.62 | $267.62 | |
United
| Professional | $167.82 | $191.23 | $297.97 |