| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.65 | $175.47 | $238.68 | |
BCBS
| Facility | $583.87 | $583.87 | $583.87 | |
BCBS
| Professional | $134.36 | $185.96 | $269.56 | |
Cigna
| Professional | $167.84 | $167.84 | $217.43 | |
United
| Professional | $181.46 | $220.68 | $355.81 |