| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.45 | $220.57 | $435.74 | |
Aetna
| Professional | $82.20 | $112.34 | $329.01 | |
BCBS
| Facility | $137.00 | $148.77 | $474.02 | |
BCBS
| Professional | $54.80 | $79.30 | $164.40 | |
Cigna
| Facility | $117.10 | $232.90 | $410.97 | |
Cigna
| Professional | $64.64 | $126.22 | $233.42 | |
United
| Facility | $137.00 | $137.00 | $205.50 | |
United
| Professional | $57.54 | $82.20 | $157.55 |