| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.63 | $121.63 | $121.63 | |
Aetna
| Professional | $85.14 | $121.63 | $121.63 | |
BCBS
| Facility | $208.55 | $208.55 | $250.26 | |
BCBS
| Professional | $152.04 | $189.00 | $389.00 | |
Cigna
| Facility | $243.55 | $243.55 | $243.55 | |
Cigna
| Professional | $78.76 | $197.59 | $290.20 | |
United
| Professional | $51.08 | $69.59 | $165.68 |