| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.87 | $223.87 | $354.81 | |
Aetna
| Professional | $181.97 | $213.80 | $354.81 | |
BCBS
| Facility | $309.03 | $309.03 | $309.03 | |
BCBS
| Professional | $309.03 | $309.03 | $309.03 | |
Cigna
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $181.97 | $181.97 | $251.19 | |
United
| Facility | $134.90 | $323.59 | $549.54 | |
United
| Professional | $134.90 | $190.55 | $309.03 |