| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.43 | $412.43 | $412.43 | |
Aetna
| Professional | $280.86 | $412.43 | $429.48 | |
BCBS
| Facility | $236.19 | $281.79 | $568.91 | |
BCBS
| Professional | $30.00 | $30.00 | $51.94 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $73.18 | $73.18 | $73.18 | |
United
| Professional | $128.47 | $128.47 | $154.68 |