| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.20 | $161.41 | $179.05 | |
Aetna
| Professional | $69.68 | $161.41 | $179.05 | |
BCBS
| Facility | $88.20 | $88.20 | $88.20 | |
BCBS
| Professional | $88.20 | $88.20 | $88.20 | |
Cigna
| Facility | $53.76 | $60.20 | $98.72 | |
Cigna
| Professional | $37.69 | $40.11 | $150.76 | |
United
| Professional | $37.04 | $52.92 | $149.94 |