| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.86 | $142.86 | $142.86 | |
Aetna
| Professional | $131.90 | $143.77 | $145.09 | |
BCBS
| Professional | $382.50 | $450.00 | $450.00 | |
Cigna
| Facility | $124.43 | $124.43 | $124.43 | |
Cigna
| Professional | $131.90 | $186.65 | $186.65 | |
United
| Professional | $131.90 | $131.90 | $131.90 |