| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.97 | $181.71 | $181.71 | |
Aetna
| Professional | $70.37 | $70.38 | $70.38 | |
BCBS
| Facility | $0.50 | $0.50 | $0.50 | |
BCBS
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $80.88 | $80.88 | $80.88 | |
Cigna
| Professional | $80.88 | $80.88 | $80.88 | |
United
| Professional | $0.50 | $72.23 | $86.54 |