| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.90 | $204.90 | $204.90 | |
Aetna
| Professional | $104.07 | $204.90 | $204.90 | |
BCBS
| Professional | $181.42 | $181.42 | $181.42 | |
Cigna
| Facility | $159.21 | $159.21 | $262.23 | |
Cigna
| Professional | $116.22 | $159.21 | $232.01 | |
United
| Professional | $81.06 | $121.61 | $187.40 |