| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.85 | $300.85 | $300.85 | |
Aetna
| Professional | $76.83 | $78.68 | $78.68 | |
BCBS
| Facility | $166.14 | $166.14 | $184.60 | |
Cigna
| Professional | $0.03 | $89.84 | $145.04 | |
United
| Professional | $92.57 | $92.57 | $92.57 |