| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.26 | $78.26 | $78.26 | |
Aetna
| Professional | $38.18 | $77.45 | $89.59 | |
BCBS
| Facility | $167.61 | $183.48 | $194.06 | |
BCBS
| Professional | $41.89 | $90.29 | $123.28 | |
Cigna
| Facility | $119.89 | $119.89 | $119.89 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
United
| Facility | $92.84 | $92.84 | $92.84 | |
United
| Professional | $38.44 | $46.13 | $66.34 |