| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.88 | $81.88 | $81.88 | |
Aetna
| Professional | $81.88 | $81.88 | $81.88 | |
BCBS
| Facility | $118.66 | $118.66 | $142.40 | |
BCBS
| Professional | $102.35 | $127.00 | $262.00 | |
Cigna
| Facility | $164.00 | $164.00 | $164.00 | |
Cigna
| Professional | $42.52 | $94.16 | $117.71 | |
United
| Professional | $34.39 | $39.95 | $95.13 |