| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.75 | $146.75 | $146.75 | |
Aetna
| Professional | $19.14 | $146.75 | $146.75 | |
BCBS
| Facility | $29.17 | $35.40 | $47.63 | |
Cigna
| Facility | $14.55 | $14.55 | $15.58 | |
Cigna
| Professional | $95.18 | $128.28 | $146.44 | |
United
| Professional | $90.19 | $103.07 | $135.28 |