| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $177.83 | $223.87 | $489.78 | |
BCBS
| Facility | $389.05 | $389.05 | $389.05 | |
BCBS
| Professional | $389.05 | $389.05 | $389.05 | |
Cigna
| Facility | $234.42 | $234.42 | $416.87 | |
Cigna
| Professional | $169.82 | $169.82 | $363.08 | |
United
| Facility | $138.04 | $181.97 | $323.59 | |
United
| Professional | $165.96 | $181.97 | $275.42 |