| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $295.12 | |
Aetna
| Professional | $50.12 | $131.83 | $134.90 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $131.83 | $131.83 | $131.83 | |
United
| Facility | $125.89 | $125.89 | $125.89 | |
United
| Professional | $0.50 | $37.15 | $141.25 |