| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $200.48 | $200.48 | $351.09 | |
BCBS
| Facility | $391.56 | $391.56 | $391.56 | |
BCBS
| Professional | $391.56 | $391.56 | $391.56 | |
Cigna
| Facility | $225.68 | $225.68 | $330.79 | |
Cigna
| Professional | $164.75 | $164.75 | $225.68 | |
United
| Professional | $135.59 | $200.03 | $231.18 |