| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $199.53 | |
Aetna
| Professional | $141.25 | $141.25 | $154.88 | |
BCBS
| Facility | $0.02 | $0.05 | $186.21 | |
BCBS
| Professional | $141.25 | $141.25 | $190.55 | |
Cigna
| Facility | $147.91 | $316.23 | $537.03 | |
Cigna
| Professional | $131.83 | $158.49 | $169.82 | |
United
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Professional | $158.49 | $158.49 | $190.55 |