| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.98 | $202.98 | $202.98 | |
Aetna
| Professional | $24.73 | $36.68 | $43.43 | |
BCBS
| Facility | $161.51 | $375.14 | $435.04 | |
BCBS
| Professional | $27.85 | $42.41 | $65.15 | |
Cigna
| Facility | $116.19 | $116.19 | $116.19 | |
Cigna
| Professional | $25.91 | $44.77 | $89.28 | |
United
| Professional | $34.67 | $39.11 | $64.65 |