| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.86 | $51.86 | $51.86 | |
Aetna
| Professional | $51.87 | $66.68 | $79.93 | |
BCBS
| Professional | $58.27 | $68.56 | $95.67 | |
Cigna
| Facility | $74.56 | $74.56 | $74.56 | |
Cigna
| Professional | $89.78 | $89.78 | $94.64 | |
United
| Professional | $55.14 | $72.06 | $116.00 |