| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.13 | $67.13 | $69.97 | |
Aetna
| Professional | $52.04 | $56.71 | $104.30 | |
BCBS
| Professional | $177.00 | $290.00 | $290.00 | |
Cigna
| Professional | $79.45 | $110.36 | $218.08 | |
United
| Professional | $101.29 | $144.19 | $278.30 |