| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.91 | $158.91 | $158.91 | |
Aetna
| Professional | $158.91 | $158.91 | $166.86 | |
BCBS
| Facility | $702.39 | $852.39 | $1,146.73 | |
Cigna
| Facility | $158.91 | $158.91 | $158.91 | |
Cigna
| Professional | $158.91 | $158.91 | $189.47 | |
United
| Professional | $63.57 | $158.91 | $158.91 |