| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.00 | $173.00 | $275.73 | |
Aetna
| Professional | $162.40 | $210.76 | $275.73 | |
BCBS
| Facility | $239.23 | $239.23 | $239.23 | |
BCBS
| Professional | $239.23 | $239.23 | $239.23 | |
Cigna
| Facility | $196.21 | $196.21 | $196.21 | |
Cigna
| Professional | $143.22 | $143.22 | $196.21 | |
United
| Professional | $100.88 | $147.13 | $243.86 |