| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $31.40 | $130.68 | $130.68 | |
BCBS
| Professional | $55.55 | $55.55 | $69.69 | |
Cigna
| Facility | $139.97 | $180.45 | $319.02 | |
Cigna
| Professional | $82.42 | $146.75 | $274.00 | |
United
| Facility | $64.70 | $64.70 | $64.70 |