| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.82 | $243.82 | $243.82 | |
Aetna
| Professional | $243.71 | $246.15 | $282.70 | |
BCBS
| Professional | $245.42 | $288.73 | $288.73 | |
Cigna
| Facility | $229.92 | $229.92 | $229.92 | |
Cigna
| Professional | $243.71 | $298.89 | $344.88 | |
United
| Professional | $243.71 | $243.71 | $243.71 |