| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.00 | $157.55 | $274.00 | |
Aetna
| Professional | $106.86 | $157.55 | $157.55 | |
BCBS
| Facility | $57.67 | $69.98 | $94.15 | |
BCBS
| Professional | $71.45 | $105.00 | $123.90 | |
Cigna
| Facility | $88.62 | $111.31 | $429.25 | |
Cigna
| Professional | $22.29 | $60.46 | $144.57 | |
United
| Professional | $57.54 | $57.54 | $82.20 |