| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $208.93 | |
Aetna
| Professional | $173.78 | $173.78 | $173.78 | |
BCBS
| Facility | $151.36 | $190.55 | $478.63 | |
BCBS
| Professional | $138.04 | $204.17 | $269.15 | |
Cigna
| Facility | $245.47 | $263.03 | $263.03 | |
Cigna
| Professional | $190.55 | $190.55 | $263.03 | |
United
| Facility | $251.19 | $251.19 | $251.19 | |
United
| Professional | $93.33 | $93.33 | $616.60 |