| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $283.66 | $283.66 | $283.66 | |
Aetna
| Professional | $87.28 | $87.28 | $90.78 | |
BCBS
| Facility | $86.94 | $86.94 | $91.86 | |
BCBS
| Professional | $87.28 | $87.28 | $87.28 | |
Cigna
| Facility | $82.34 | $87.28 | $87.28 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
United
| Professional | $87.28 | $87.28 | $87.28 |