| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.60 | $87.60 | $120.97 | |
Aetna
| Professional | $54.92 | $87.60 | $350.00 | |
BCBS
| Facility | $79.25 | $79.25 | $79.25 | |
BCBS
| Professional | $70.91 | $104.28 | $104.28 | |
Cigna
| Facility | $52.42 | $90.83 | $153.74 | |
Cigna
| Professional | $80.12 | $82.57 | $100.15 | |
United
| Facility | $62.57 | $62.57 | $62.57 | |
United
| Professional | $29.20 | $41.71 | $69.52 |