| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $257.99 | $257.99 | $257.99 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $253.60 | $253.60 | $253.60 | |
Cigna
| Professional | $253.60 | $253.60 | $253.60 | |
United
| Professional | $0.50 | $245.09 | $271.57 |