| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $75.86 | $75.86 | |
Aetna
| Professional | $38.90 | $72.44 | $89.13 | |
BCBS
| Facility | $109.65 | $169.82 | $194.98 | |
BCBS
| Professional | $38.90 | $70.79 | $128.82 | |
Cigna
| Facility | $151.36 | $234.42 | $338.84 | |
Cigna
| Professional | $40.74 | $40.74 | $131.83 | |
United
| Facility | $67.61 | $87.10 | $138.04 | |
United
| Professional | $30.20 | $42.66 | $64.57 |