| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $81.28 | $81.28 | |
Aetna
| Professional | $57.54 | $69.18 | $81.28 | |
BCBS
| Facility | $117.49 | $117.49 | $141.25 | |
BCBS
| Professional | $102.33 | $125.89 | $263.03 | |
Cigna
| Facility | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $42.66 | $47.86 | $117.49 | |
United
| Facility | $81.28 | $81.28 | $81.28 | |
United
| Professional | $34.67 | $39.81 | $95.50 |