| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.04 | $1,688.00 | $3,109.00 | |
Aetna
| Professional | $75.26 | $96.15 | $124.09 | |
BCBS
| Professional | $84.48 | $111.81 | $124.23 | |
Cigna
| Facility | $515.00 | $541.00 | $561.00 | |
Cigna
| Professional | $82.27 | $122.95 | $155.66 | |
Qualchoice
| Professional | $151.11 | $151.11 | $151.11 | |
United
| Facility | $375.00 | $750.00 | $2,558.00 | |
United
| Professional | $73.93 | $102.34 | $166.94 |