| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.26 | $213.26 | $339.88 | |
Aetna
| Professional | $203.06 | $243.25 | $339.88 | |
BCBS
| Facility | $294.89 | $294.89 | $294.89 | |
BCBS
| Professional | $294.89 | $294.89 | $294.89 | |
Cigna
| Facility | $211.27 | $211.27 | $211.27 | |
Cigna
| Professional | $154.22 | $154.22 | $211.27 | |
United
| Professional | $112.45 | $178.70 | $259.93 |