| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.89 | $190.66 | $342.22 | |
Aetna
| Professional | $91.67 | $105.62 | $140.55 | |
BCBS
| Facility | $122.22 | $150.88 | $422.88 | |
BCBS
| Professional | $60.36 | $73.48 | $180.02 | |
Cigna
| Facility | $104.46 | $214.49 | $373.37 | |
Cigna
| Professional | $66.92 | $122.51 | $232.84 | |
United
| Facility | $122.22 | $122.22 | $183.33 | |
United
| Professional | $51.33 | $73.33 | $166.74 |