| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.07 | $150.07 | $150.07 | |
Aetna
| Professional | $146.54 | $146.54 | $150.07 | |
BCBS
| Facility | $155.69 | $155.69 | $155.69 | |
BCBS
| Professional | $155.69 | $155.69 | $155.69 | |
Cigna
| Facility | $87.37 | $87.37 | $155.36 | |
United
| Professional | $136.80 | $136.80 | $158.90 |