| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.60 | $164.60 | $257.38 | |
BCBS
| Facility | $287.04 | $287.04 | $287.04 | |
BCBS
| Professional | $287.04 | $287.04 | $287.04 | |
Cigna
| Facility | $190.78 | $190.78 | $302.20 | |
Cigna
| Professional | $139.27 | $139.27 | $190.78 | |
United
| Professional | $117.61 | $130.13 | $144.47 |