| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.10 | $345.10 | $345.10 | |
Aetna
| Professional | $187.34 | $188.51 | $294.76 | |
BCBS
| Facility | $328.73 | $328.73 | $328.73 | |
BCBS
| Professional | $328.73 | $328.73 | $328.73 | |
Cigna
| Facility | $194.92 | $194.92 | $343.13 | |
Cigna
| Professional | $142.29 | $142.29 | $194.92 | |
United
| Professional | $140.65 | $155.62 | $172.77 |