| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $144.54 | $257.04 | |
BCBS
| Facility | $346.74 | $346.74 | $346.74 | |
BCBS
| Professional | $346.74 | $346.74 | $346.74 | |
Cigna
| Facility | $165.96 | $165.96 | $323.59 | |
Cigna
| Professional | $120.23 | $120.23 | $263.03 | |
United
| Facility | $100.00 | $131.83 | $281.84 | |
United
| Professional | $120.23 | $131.83 | $199.53 |