| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $275.42 | $691.83 | |
Aetna
| Professional | $100.00 | $138.04 | $281.84 | |
BCBS
| Facility | $141.25 | $218.78 | $776.25 | |
BCBS
| Professional | $67.61 | $117.49 | $281.84 | |
Cigna
| Facility | $109.65 | $323.59 | $707.95 | |
Cigna
| Professional | $77.62 | $199.53 | $407.38 | |
United
| Facility | $77.62 | $169.82 | $204.17 | |
United
| Professional | $53.70 | $77.62 | $186.21 |