| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.23 | $112.23 | $175.36 | |
Aetna
| Professional | $105.35 | $163.16 | $175.36 | |
BCBS
| Facility | $155.19 | $155.19 | $155.19 | |
BCBS
| Professional | $155.19 | $155.19 | $155.19 | |
Cigna
| Facility | $120.62 | $120.62 | $120.62 | |
Cigna
| Professional | $88.05 | $88.05 | $120.62 | |
United
| Professional | $59.18 | $99.91 | $158.03 |