| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.02 | $122.02 | $190.66 | |
Aetna
| Professional | $114.54 | $182.38 | $236.57 | |
BCBS
| Facility | $168.73 | $168.73 | $168.73 | |
BCBS
| Professional | $168.73 | $168.73 | $168.73 | |
Cigna
| Facility | $140.85 | $140.85 | $140.85 | |
Cigna
| Professional | $102.82 | $102.82 | $207.25 | |
United
| Professional | $72.42 | $108.63 | $167.39 |