| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.53 | $52.53 | $82.14 | |
BCBS
| Facility | $91.60 | $91.60 | $91.60 | |
BCBS
| Professional | $91.60 | $91.60 | $91.60 | |
Cigna
| Facility | $71.68 | $71.68 | $103.18 | |
Cigna
| Professional | $52.33 | $52.33 | $71.68 | |
United
| Professional | $42.29 | $46.79 | $51.95 |