| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.03 | $176.03 | $308.27 | |
BCBS
| Facility | $343.80 | $343.80 | $343.80 | |
BCBS
| Professional | $343.80 | $343.80 | $343.80 | |
Cigna
| Facility | $244.07 | $244.07 | $379.57 | |
Cigna
| Professional | $178.17 | $178.17 | $244.07 | |
United
| Professional | $151.60 | $167.72 | $258.45 |