| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.49 | $84.49 | $202.89 | |
Aetna
| Professional | $84.48 | $84.49 | $118.09 | |
BCBS
| Facility | $94.08 | $138.74 | $256.10 | |
BCBS
| Professional | $82.83 | $84.49 | $94.62 | |
Cigna
| Facility | $92.77 | $92.77 | $92.77 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $82.83 | $95.25 | $130.53 |