| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.91 | $307.91 | $307.91 | |
Aetna
| Professional | $78.63 | $80.53 | $80.53 | |
BCBS
| Facility | $170.05 | $170.05 | $188.94 | |
Cigna
| Facility | $83.69 | $83.69 | $83.69 | |
Cigna
| Professional | $83.69 | $83.69 | $83.69 | |
United
| Professional | $37.90 | $94.74 | $94.74 |