| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.74 | $353.74 | $353.74 | |
Aetna
| Professional | $50.45 | $61.17 | $83.30 | |
BCBS
| Facility | $61.52 | $72.45 | $78.75 | |
BCBS
| Professional | $39.22 | $46.14 | $200.39 | |
Cigna
| Facility | $112.76 | $112.76 | $198.22 | |
Cigna
| Professional | $61.39 | $81.41 | $166.64 | |
United
| Professional | $25.84 | $36.90 | $88.73 |