| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $87.10 | $128.82 | |
Aetna
| Professional | $56.23 | $81.28 | $112.20 | |
Aetna
| Professional | 25 | $75.86 | $89.13 | $104.71 |
BCBS
| Facility | $93.33 | $117.49 | $295.12 | |
BCBS
| Professional | $53.70 | $91.20 | $165.96 | |
Cigna
| Facility | $123.03 | $281.84 | $691.83 | |
Cigna
| Professional | $83.18 | $173.78 | $309.03 | |
United
| Facility | $57.54 | $64.57 | $83.18 | |
United
| Professional | $70.79 | $97.72 | $181.97 |