| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $396.29 | $396.29 | $396.29 | |
Aetna
| Professional | $36.00 | $56.51 | $56.51 | |
BCBS
| Facility | $81.03 | $81.17 | $88.22 | |
BCBS
| Professional | $36.18 | $51.69 | $51.69 | |
Cigna
| Professional | $43.68 | $79.30 | $99.12 | |
United
| Professional | $24.12 | $48.62 | $116.87 |