| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $151.36 | $288.40 | |
Aetna
| Professional | $120.23 | $154.88 | $245.47 | |
BCBS
| Facility | $120.23 | $162.18 | $602.56 | |
BCBS
| Professional | $144.54 | $162.18 | $338.84 | |
Cigna
| Facility | $190.55 | $190.55 | $1,122.02 | |
Cigna
| Professional | $138.04 | $138.04 | $426.58 | |
United
| Facility | $100.00 | $151.36 | $354.81 | |
United
| Professional | $102.33 | $138.04 | $229.09 |