| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.00 | $64.00 | $67.15 | |
Aetna
| Professional | $64.00 | $64.00 | $74.00 | |
BCBS
| Professional | $174.00 | $174.00 | $286.00 | |
Cigna
| Professional | $103.39 | $103.39 | $183.74 | |
United
| Professional | $66.26 | $134.53 | $234.93 |