| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $170.41 | $202.01 | $244.62 | |
BCBS
| Facility | $245.22 | $245.22 | $245.22 | |
BCBS
| Professional | $245.22 | $245.22 | $245.22 | |
Cigna
| Facility | $244.43 | $244.43 | $291.14 | |
Cigna
| Professional | $178.43 | $207.77 | $263.95 | |
United
| Professional | $101.62 | $156.60 | $263.04 |