| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $125.89 | $239.88 | |
BCBS
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Facility | $162.18 | $162.18 | $346.74 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
United
| Facility | $12.88 | $128.82 | $186.21 | |
United
| Professional | $125.89 | $158.49 | $257.04 |