| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.94 | $66.94 | $104.67 | |
BCBS
| Facility | $116.74 | $116.74 | $116.74 | |
BCBS
| Professional | $116.74 | $116.74 | $116.74 | |
Cigna
| Facility | $62.72 | $62.72 | $104.05 | |
Cigna
| Professional | $45.79 | $45.79 | $62.72 | |
United
| Professional | $41.60 | $46.03 | $51.10 |