| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.00 | $58.00 | $58.00 | |
Aetna
| Professional | $58.00 | $58.00 | $58.00 | |
BCBS
| Facility | $32.72 | $32.72 | $39.27 | |
BCBS
| Professional | $72.50 | $90.00 | $186.00 | |
Cigna
| Professional | $66.48 | $66.48 | $83.12 | |
United
| Professional | $24.36 | $33.47 | $81.02 |