| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $493.18 | $493.18 | $493.18 | |
Aetna
| Professional | $70.33 | $70.33 | $70.52 | |
BCBS
| Facility | $0.02 | $91.43 | $101.59 | |
BCBS
| Professional | $78.91 | $78.91 | $78.91 | |
Cigna
| Facility | $252.93 | $252.93 | $252.93 | |
Cigna
| Professional | $55.75 | $131.75 | $164.68 | |
United
| Professional | $40.04 | $51.46 | $137.44 |