| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.16 | $137.16 | $137.16 | |
Aetna
| Professional | $92.32 | $103.56 | $137.16 | |
BCBS
| Facility | $225.95 | $328.75 | $328.75 | |
BCBS
| Professional | $100.16 | $117.84 | $171.35 | |
Cigna
| Professional | $96.42 | $96.42 | $96.42 | |
United
| Professional | $105.17 | $124.90 | $188.54 |