| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.14 | $83.39 | $101.25 | |
Aetna
| Professional | $68.94 | $83.39 | $113.49 | |
BCBS
| Facility | $145.16 | $170.79 | $290.33 | |
BCBS
| Professional | $85.01 | $85.01 | $117.45 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $100.43 | $107.06 | |
United
| Professional | $58.02 | $72.43 | $114.56 |