| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $177.83 | $245.47 | |
Aetna
| Professional | $93.33 | $120.23 | $177.83 | |
BCBS
| Facility | $162.18 | $162.18 | $218.78 | |
BCBS
| Professional | $128.82 | $128.82 | $190.55 | |
Cigna
| Facility | $93.33 | $181.97 | $263.03 | |
United
| Facility | $128.82 | $128.82 | $141.25 | |
United
| Professional | $60.26 | $85.11 | $190.55 |