| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $252.46 | $252.46 | $394.76 | |
BCBS
| Facility | $440.26 | $440.26 | $440.26 | |
BCBS
| Professional | $440.26 | $440.26 | $440.26 | |
Cigna
| Facility | $293.31 | $293.31 | $484.70 | |
Cigna
| Professional | $214.12 | $214.12 | $432.40 | |
United
| Professional | $196.42 | $217.32 | $241.27 |