| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.87 | $96.87 | $169.65 | |
BCBS
| Facility | $189.20 | $189.20 | $189.20 | |
BCBS
| Professional | $189.20 | $189.20 | $189.20 | |
Cigna
| Facility | $126.98 | $126.98 | $257.61 | |
Cigna
| Professional | $92.70 | $92.70 | $191.07 | |
United
| Professional | $86.82 | $96.06 | $148.03 |