| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.12 | $204.57 | $594.89 | |
Aetna
| Professional | $170.48 | $200.47 | $204.57 | |
BCBS
| Facility | $181.25 | $181.25 | $181.25 | |
BCBS
| Professional | $181.25 | $181.25 | $507.30 | |
Cigna
| Facility | $160.83 | $170.48 | $235.50 | |
Cigna
| Professional | $170.48 | $170.48 | $170.48 | |
United
| Professional | $170.48 | $170.48 | $484.90 |