| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.52 | $112.52 | $179.33 | |
Aetna
| Professional | $105.62 | $130.85 | $179.33 | |
BCBS
| Facility | $155.59 | $155.59 | $155.59 | |
BCBS
| Professional | $155.59 | $155.59 | $155.59 | |
Cigna
| Facility | $121.82 | $121.82 | $121.82 | |
Cigna
| Professional | $88.93 | $88.93 | $121.82 | |
United
| Professional | $58.68 | $94.29 | $149.52 |