| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.04 | $270.33 | $270.33 | |
Aetna
| Professional | $270.33 | $270.33 | $485.83 | |
BCBS
| Facility | $462.34 | $462.34 | $503.03 | |
Cigna
| Facility | $64.84 | $274.73 | $779.23 | |
Cigna
| Professional | $62.18 | $102.32 | $132.02 | |
United
| Professional | $73.04 | $483.08 | $915.32 |