| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.28 | $246.85 | $449.00 | |
BCBS
| Professional | $671.00 | $671.00 | $671.00 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $318.39 | |
United
| Professional | $23.17 | $25.82 | $1,009.15 |