| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $145.91 | $180.61 | $198.07 | |
BCBS
| Facility | $472.17 | $637.74 | $755.01 | |
BCBS
| Professional | $185.41 | $218.13 | $302.01 | |
Cigna
| Facility | $193.15 | $225.68 | $225.68 | |
Cigna
| Professional | $164.75 | $225.68 | $225.68 | |
United
| Professional | $150.58 | $190.73 | $277.69 |