| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.32 | $147.32 | $216.99 | |
Cigna
| Professional | $150.00 | $150.00 | $218.94 | |
United
| Professional | $173.00 | $647.98 | $647.98 |
Bls
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.32 | $147.32 | $216.99 | |
Cigna
| Professional | $150.00 | $150.00 | $218.94 | |
United
| Professional | $173.00 | $647.98 | $647.98 |