| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.65 | $144.15 | $200.88 | |
Aetna
| Professional | $33.14 | $86.65 | $144.15 | |
BCBS
| Facility | $78.77 | $78.77 | $78.77 | |
BCBS
| Professional | $78.77 | $78.77 | $78.77 | |
Cigna
| Facility | $31.45 | $51.20 | $59.75 | |
Cigna
| Professional | $18.54 | $36.75 | $113.58 | |
United
| Professional | $16.23 | $33.08 | $88.46 |