| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $102.33 | |
Aetna
| Professional | $75.86 | $114.82 | $251.19 | |
BCBS
| Facility | $194.98 | $245.47 | $281.84 | |
BCBS
| Professional | $104.71 | $134.90 | $190.55 | |
Cigna
| Professional | $100.00 | $194.98 | $245.47 | |
United
| Professional | $81.28 | $109.65 | $190.55 |