| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.49 | $84.49 | $84.49 | |
Aetna
| Professional | $84.48 | $84.49 | $92.93 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $82.83 | $82.83 | $82.83 | |
Cigna
| Facility | $92.77 | $92.77 | $92.77 | |
Cigna
| Professional | $92.77 | $92.77 | $121.56 | |
United
| Professional | $82.83 | $93.60 | $130.53 |