| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.18 | $182.18 | $182.18 | |
Aetna
| Professional | $182.18 | $198.58 | $200.40 | |
BCBS
| Professional | $425.00 | $500.00 | $500.00 | |
Cigna
| Facility | $171.87 | $171.87 | $171.87 | |
Cigna
| Professional | $182.18 | $257.80 | $257.80 | |
United
| Professional | $182.18 | $182.18 | $182.18 |