| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.16 | $144.72 | $604.26 | |
Aetna
| Professional | $98.15 | $98.16 | $107.97 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $90.11 | $90.11 | $90.11 | |
Cigna
| Facility | $96.58 | $96.58 | $96.58 | |
Cigna
| Professional | $96.58 | $96.58 | $96.58 | |
United
| Facility | $88.50 | $88.50 | $88.50 | |
United
| Professional | $86.23 | $97.44 | $103.33 |