| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $457.09 | |
Aetna
| Professional | $36.31 | $213.80 | $676.08 | |
BCBS
| Facility | $100.00 | $100.00 | $100.00 | |
BCBS
| Professional | $25.70 | $67.61 | $186.21 | |
Cigna
| Facility | $630.96 | $630.96 | $630.96 | |
Cigna
| Professional | $134.90 | $912.01 | $2,041.74 | |
United
| Facility | $44.67 | $44.67 | $104.71 | |
United
| Professional | $54.95 | $75.86 | $194.98 |