| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.74 | $241.74 | $241.74 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $265.58 | $265.58 | $265.58 | |
Cigna
| Professional | $265.58 | $265.58 | $265.58 | |
United
| Professional | $237.13 | $237.13 | $284.39 |