| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $372.90 | $372.90 | $372.90 | |
Aetna
| Professional | $176.52 | $372.90 | $372.90 | |
BCBS
| Professional | $307.73 | $307.73 | $307.73 | |
Cigna
| Facility | $273.20 | $273.20 | $486.48 | |
Cigna
| Professional | $199.44 | $273.20 | $425.98 | |
United
| Professional | $137.52 | $206.27 | $310.72 |