| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $102.33 | $102.33 | |
Aetna
| Professional | $43.65 | $89.13 | $109.65 | |
BCBS
| Facility | $109.65 | $263.03 | $269.15 | |
BCBS
| Professional | $51.29 | $74.13 | $162.18 | |
Cigna
| Facility | $44.67 | $199.53 | $446.68 | |
Cigna
| Professional | $51.29 | $51.29 | $177.83 | |
United
| Facility | $87.10 | $109.65 | $173.78 | |
United
| Professional | $41.69 | $53.70 | $81.28 |