| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.97 | $83.97 | $83.97 | |
Aetna
| Professional | $39.22 | $45.88 | $59.97 | |
BCBS
| Professional | $104.00 | $112.00 | $181.00 | |
BCBS
| Professional | 50 | $156.00 | $252.00 | $271.50 |
Cigna
| Professional | $69.76 | $90.68 | $132.54 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $72.81 | $100.88 | $224.90 |