| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $157.79 | $198.52 | $214.18 | |
BCBS
| Facility | $510.59 | $689.63 | $816.43 | |
BCBS
| Professional | $200.49 | $235.87 | $326.58 | |
Cigna
| Facility | $239.35 | $239.35 | $239.35 | |
Cigna
| Professional | $174.73 | $174.73 | $174.73 | |
United
| Professional | $162.83 | $230.19 | $300.27 |