| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.41 | $247.41 | $247.41 | |
Aetna
| Professional | $125.66 | $247.41 | $247.41 | |
BCBS
| Professional | $219.06 | $219.06 | $219.06 | |
Cigna
| Facility | $166.52 | $166.52 | $325.04 | |
Cigna
| Professional | $121.56 | $166.52 | $284.62 | |
United
| Professional | $88.64 | $146.83 | $204.88 |