| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $128.82 | $213.80 | |
Aetna
| Professional | $72.44 | $74.13 | $151.36 | |
BCBS
| Facility | $75.86 | $93.33 | $199.53 | |
BCBS
| Professional | $72.44 | $72.44 | $109.65 | |
Cigna
| Facility | $69.18 | $72.44 | $112.20 | |
Cigna
| Professional | $72.44 | $75.86 | $93.33 | |
United
| Facility | $72.44 | $123.03 | $281.84 | |
United
| Professional | $72.44 | $72.44 | $104.71 |