| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.57 | $87.57 | $110.72 | |
Aetna
| Professional | $87.57 | $87.57 | $400.00 | |
BCBS
| Facility | $158.81 | $184.28 | $207.95 | |
BCBS
| Professional | $55.00 | $69.20 | $106.08 | |
Cigna
| Professional | $155.75 | $285.29 | $512.00 | |
United
| Professional | $367.00 | $367.00 | $367.00 |