| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.54 | $145.54 | $227.58 | |
BCBS
| Facility | $253.81 | $253.81 | $253.81 | |
BCBS
| Professional | $253.81 | $253.81 | $253.81 | |
Cigna
| Facility | $142.94 | $142.94 | $220.02 | |
Cigna
| Professional | $104.35 | $104.35 | $142.94 | |
United
| Professional | $90.19 | $99.79 | $110.78 |