| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.03 | $192.03 | $306.05 | |
Aetna
| Professional | $182.86 | $219.04 | $306.05 | |
BCBS
| Facility | $265.54 | $265.54 | $265.54 | |
BCBS
| Professional | $265.54 | $265.54 | $265.54 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $166.41 | $227.96 | |
United
| Professional | $101.26 | $162.68 | $255.18 |