| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.92 | $108.92 | $170.31 | |
BCBS
| Facility | $189.94 | $189.94 | $189.94 | |
BCBS
| Professional | $189.94 | $189.94 | $189.94 | |
Cigna
| Facility | $107.42 | $107.42 | $210.63 | |
Cigna
| Professional | $78.42 | $78.42 | $107.42 | |
United
| Facility | $64.75 | $85.00 | $85.00 | |
United
| Professional | $77.51 | $85.76 | $95.21 |