| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.81 | $201.03 | $349.62 | |
Aetna
| Professional | $136.35 | $201.03 | $201.03 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $30.88 | $37.50 | $113.43 | |
Cigna
| Facility | $113.63 | $142.04 | $378.39 | |
Cigna
| Professional | $139.85 | $139.85 | $139.85 | |
United
| Professional | $73.42 | $73.42 | $104.89 |