| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $74.13 | $114.82 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $69.18 | $93.33 | $93.33 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
United
| Professional | $0.50 | $85.11 | $100.00 |