| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $131.83 | |
Aetna
| Professional | $131.83 | $131.83 | $229.09 | |
BCBS
| Facility | $100.00 | $120.23 | $162.18 | |
BCBS
| Professional | $181.97 | $181.97 | $229.09 | |
Cigna
| Facility | $38.02 | $41.69 | $85.11 | |
United
| Facility | $21.38 | $48.98 | $60.26 |