| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.75 | $140.75 | $156.22 | |
Aetna
| Professional | $140.75 | $140.75 | $156.22 | |
BCBS
| Facility | $66.70 | $118.79 | $118.79 | |
Cigna
| Facility | $129.36 | $161.82 | $161.82 | |
Cigna
| Professional | $161.82 | $161.82 | $161.82 | |
United
| Professional | $144.47 | $160.52 | $173.08 |