| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.32 | $150.32 | $152.72 | |
Aetna
| Professional | $115.22 | $126.86 | $188.15 | |
BCBS
| Facility | $184.18 | $198.27 | $299.08 | |
BCBS
| Professional | $152.21 | $159.01 | $271.21 | |
Cigna
| Facility | $126.72 | $126.72 | $214.48 | |
Cigna
| Professional | $107.71 | $126.72 | $207.75 | |
United
| Professional | $109.65 | $153.75 | $267.51 |