| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.56 | $148.56 | $148.56 | |
Aetna
| Professional | $123.80 | $129.99 | $148.56 | |
BCBS
| Facility | $136.77 | $136.77 | $136.77 | |
BCBS
| Professional | $133.28 | $136.77 | $136.77 | |
Cigna
| Facility | $116.79 | $123.80 | $123.80 | |
Cigna
| Professional | $123.80 | $123.80 | $134.31 | |
United
| Professional | $117.61 | $123.80 | $141.13 |