| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.25 | $146.49 | $211.38 | |
Aetna
| Professional | $94.41 | $146.49 | $146.49 | |
BCBS
| Facility | $117.80 | $117.80 | $128.16 | |
Cigna
| Facility | $91.16 | $130.35 | $350.00 | |
Cigna
| Professional | $103.64 | $198.45 | $248.99 | |
United
| Facility | $219.00 | $219.00 | $219.00 | |
United
| Professional | $78.16 | $141.75 | $230.70 |