| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.76 | $103.76 | $153.71 | |
Aetna
| Professional | $52.69 | $103.76 | $103.76 | |
BCBS
| Facility | $76.04 | $76.04 | $76.04 | |
BCBS
| Professional | $63.00 | $92.65 | $92.65 | |
Cigna
| Facility | $50.30 | $81.81 | $203.94 | |
Cigna
| Professional | $41.94 | $76.41 | $97.46 | |
United
| Professional | $28.01 | $45.39 | $93.16 |