| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.00 | $17.55 | $18.23 | |
Aetna
| Professional | $13.33 | $18.10 | $137.74 | |
BCBS
| Facility | $170.66 | $245.72 | $245.72 | |
BCBS
| Professional | $30.00 | $52.57 | $77.84 | |
Cigna
| Facility | $140.55 | $140.55 | $140.55 | |
Cigna
| Professional | $19.00 | $25.56 | $42.53 | |
United
| Facility | $144.33 | $144.33 | $144.33 | |
United
| Professional | $23.82 | $126.54 | $260.13 |