| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $173.78 | $239.88 | |
Aetna
| Professional | $91.20 | $114.82 | $173.78 | |
BCBS
| Facility | $154.88 | $154.88 | $208.93 | |
BCBS
| Professional | $123.03 | $204.17 | $204.17 | |
Cigna
| Facility | $89.13 | $204.17 | $257.04 | |
Cigna
| Professional | $60.26 | $120.23 | $204.17 | |
United
| Facility | $123.03 | $123.03 | $138.04 | |
United
| Professional | $57.54 | $81.28 | $138.04 |