| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $144.54 | $194.98 | |
Aetna
| Professional | $114.82 | $144.54 | $199.53 | |
BCBS
| Facility | $18.20 | $23.44 | $107.15 | |
BCBS
| Professional | $24.55 | $165.96 | $309.03 | |
Cigna
| Facility | $33.88 | $147.91 | $269.15 | |
Cigna
| Professional | $107.15 | $125.89 | $147.91 | |
United
| Facility | $12.88 | $17.38 | $549.54 | |
United
| Professional | $8.13 | $17.78 | $109.65 |