| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.68 | $389.41 | $723.60 | |
Aetna
| Professional | $102.48 | $106.31 | $108.89 | |
BCBS
| Professional | $115.29 | $115.29 | $115.29 | |
Cigna
| Facility | $109.99 | $109.99 | $109.99 | |
Cigna
| Professional | $109.99 | $109.99 | $109.99 | |
United
| Professional | $450.58 | $450.58 | $450.58 |