| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.56 | $199.56 | $279.62 | |
Aetna
| Professional | $94.52 | $152.66 | $199.56 | |
BCBS
| Professional | $106.91 | $142.54 | $160.36 | |
CareSource
| Facility | $128.29 | $128.29 | $153.94 | |
CareSource
| Professional | $83.39 | $83.39 | $128.29 | |
Cigna
| Facility | $96.73 | $147.66 | $325.24 | |
Cigna
| Professional | $71.81 | $117.00 | $191.72 | |
United
| Facility | $128.29 | $128.29 | $128.29 | |
United
| Professional | $53.88 | $87.29 | $189.24 |