| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.09 | $350.09 | $350.09 | |
Aetna
| Professional | $177.80 | $350.09 | $350.09 | |
BCBS
| Professional | $309.98 | $309.98 | $309.98 | |
Cigna
| Facility | $267.94 | $267.94 | $414.17 | |
Cigna
| Professional | $195.60 | $267.94 | $396.41 | |
United
| Professional | $123.07 | $207.77 | $297.52 |