| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.60 | $253.60 | $253.60 | |
Aetna
| Professional | $253.60 | $253.60 | $253.60 | |
BCBS
| Professional | $29.25 | $35.50 | $35.50 | |
Cigna
| Facility | $50.00 | $50.00 | $60.20 | |
Cigna
| Professional | $18.94 | $23.44 | $50.00 | |
United
| Professional | $244.15 | $244.15 | $256.50 |