| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.80 | $198.01 | $426.73 | |
Aetna
| Professional | $115.13 | $157.34 | $175.00 | |
BCBS
| Facility | $148.54 | $161.18 | $531.11 | |
BCBS
| Professional | $61.40 | $61.40 | $112.66 | |
Cigna
| Facility | $100.33 | $216.37 | $447.51 | |
Cigna
| Professional | $89.80 | $176.76 | $220.96 | |
United
| Professional | $64.47 | $92.10 | $184.20 |