| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $251.19 | |
Aetna
| Professional | $208.93 | $208.93 | $245.47 | |
BCBS
| Facility | $199.53 | $199.53 | $199.53 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Facility | $199.53 | $208.93 | $213.80 | |
United
| Professional | $199.53 | $208.93 | $316.23 |