| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.54 | $65.54 | $102.48 | |
BCBS
| Facility | $114.30 | $114.30 | $114.30 | |
BCBS
| Professional | $114.30 | $114.30 | $114.30 | |
Cigna
| Facility | $75.70 | $75.70 | $128.74 | |
Cigna
| Professional | $55.27 | $55.27 | $104.52 | |
United
| Professional | $47.50 | $52.55 | $80.41 |