| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.58 | $311.58 | $311.58 | |
Aetna
| Professional | $147.50 | $311.58 | $311.58 | |
BCBS
| Professional | $205.84 | $205.84 | $205.84 | |
Cigna
| Facility | $215.87 | $215.87 | $383.40 | |
Cigna
| Professional | $157.59 | $215.87 | $335.71 | |
United
| Professional | $114.90 | $170.82 | $259.63 |