| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $208.93 | $549.54 | |
Aetna
| Professional | $125.89 | $169.82 | $398.11 | |
BCBS
| Facility | $128.82 | $173.78 | $630.96 | |
BCBS
| Professional | $154.88 | $177.83 | $371.54 | |
Cigna
| Facility | $177.83 | $177.83 | $1,318.26 | |
Cigna
| Professional | $128.82 | $128.82 | $457.09 | |
United
| Facility | $107.15 | $181.97 | $389.05 | |
United
| Professional | $109.65 | $154.88 | $245.47 |