| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.15 | $110.15 | $172.24 | |
BCBS
| Facility | $192.09 | $192.09 | $192.09 | |
BCBS
| Professional | $192.09 | $192.09 | $192.09 | |
Cigna
| Facility | $129.63 | $129.63 | $213.00 | |
Cigna
| Professional | $94.64 | $94.64 | $172.43 | |
United
| Professional | $78.38 | $86.72 | $132.71 |