| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $199.53 | $275.42 | |
Aetna
| Professional | $104.71 | $131.83 | $194.98 | |
BCBS
| Facility | $177.83 | $177.83 | $239.88 | |
BCBS
| Professional | $141.25 | $141.25 | $213.80 | |
Cigna
| Facility | $102.33 | $204.17 | $288.40 | |
United
| Facility | $141.25 | $141.25 | $158.49 | |
United
| Professional | $66.07 | $93.33 | $158.49 |