| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.58 | $254.64 | $3,200.63 | |
Aetna
| Professional | $203.58 | $226.18 | $274.83 | |
BCBS
| Facility | $168.02 | $168.02 | $184.82 | |
Cigna
| Facility | $203.58 | $203.58 | $218.37 | |
Cigna
| Professional | $203.58 | $203.58 | $203.58 | |
United
| Professional | $203.58 | $207.65 | $282.08 |