| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.47 | $180.18 | $198.78 | |
Aetna
| Professional | $133.46 | $133.47 | $146.81 | |
BCBS
| Facility | $36.03 | $43.72 | $58.82 | |
BCBS
| Professional | $117.08 | $117.08 | $117.08 | |
Cigna
| Facility | $131.13 | $131.13 | $131.13 | |
Cigna
| Professional | $131.13 | $131.13 | $139.59 | |
United
| Professional | $117.08 | $132.30 | $140.50 |