| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $173.78 | $288.40 | |
BCBS
| Professional | $223.87 | $223.87 | $223.87 | |
Cigna
| Facility | $223.87 | $223.87 | $549.54 | |
Cigna
| Professional | $165.96 | $165.96 | $407.38 | |
United
| Facility | $199.53 | $223.87 | $407.38 | |
United
| Professional | $100.00 | $151.36 | $229.09 |