| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.26 | $117.60 | $204.52 | |
Aetna
| Professional | $79.76 | $117.60 | $117.60 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $97.15 | $176.25 | $207.98 | |
Cigna
| Facility | $80.43 | $117.34 | $320.39 | |
Cigna
| Professional | $44.24 | $45.50 | $225.77 | |
United
| Professional | $42.95 | $42.95 | $61.36 |