| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $316.23 | $316.23 | $371.54 | |
BCBS
| Professional | $1,230.27 | $1,445.44 | $1,445.44 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $316.23 | $316.23 | $446.68 | |
United
| Professional | $125.89 | $275.42 | $1,445.44 |