| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.76 | $257.76 | $257.76 | |
Aetna
| Professional | $110.53 | $220.80 | $271.77 | |
BCBS
| Facility | $442.42 | $482.57 | $509.34 | |
BCBS
| Professional | $130.29 | $261.42 | $356.93 | |
Cigna
| Facility | $341.55 | $341.55 | $341.55 | |
Cigna
| Professional | $128.49 | $128.49 | $128.49 | |
United
| Professional | $111.29 | $133.55 | $204.73 |