| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.77 | $85.77 | $85.77 | |
BCBS
| Professional | $107.21 | $133.00 | $274.00 | |
Cigna
| Facility | $171.67 | $171.67 | $171.67 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $36.02 | $40.03 | $95.30 |