| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $245.47 | $831.76 | |
BCBS
| Facility | $199.53 | $199.53 | $199.53 | |
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Cigna
| Facility | $302.00 | $302.00 | $457.09 | |
Cigna
| Professional | $218.78 | $218.78 | $302.00 | |
United
| Facility | $162.18 | $169.82 | $245.47 | |
United
| Professional | $208.93 | $218.78 | $346.74 |