| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.79 | $102.74 | $176.62 | |
Aetna
| Professional | $83.34 | $102.74 | $112.32 | |
BCBS
| Facility | $102.81 | $138.03 | $170.41 | |
BCBS
| Professional | $93.83 | $102.55 | $173.10 | |
Cigna
| Professional | $51.37 | $83.34 | $146.74 | |
United
| Professional | $71.98 | $98.73 | $171.75 |