| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.40 | $151.97 | $243.17 | |
Aetna
| Professional | $143.93 | $148.40 | $151.97 | |
BCBS
| Facility | $128.69 | $199.56 | $366.56 | |
BCBS
| Professional | $115.32 | $120.98 | $151.97 | |
Cigna
| Facility | $151.97 | $151.97 | $151.97 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
United
| Professional | $129.67 | $129.67 | $129.67 |