| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $700.00 | $700.00 | |
Aetna
| Professional | $700.00 | $700.00 | $700.00 | |
BCBS
| Facility | $73.08 | $94.73 | $224.13 | |
BCBS
| Professional | $54.22 | $65.77 | $73.08 | |
Cigna
| Professional | $96.47 | $96.47 | $96.47 | |
United
| Professional | $41.43 | $41.43 | $41.43 |