| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.09 | $222.58 | $272.31 | |
Aetna
| Professional | $96.09 | $222.58 | $246.91 | |
BCBS
| Facility | $168.93 | $168.93 | $168.93 | |
BCBS
| Professional | $168.93 | $168.93 | $168.93 | |
Cigna
| Facility | $79.06 | $83.01 | $125.90 | |
Cigna
| Professional | $55.33 | $127.09 | $243.59 | |
United
| Professional | $51.08 | $82.84 | $248.52 |