| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.22 | $97.22 | $97.22 | |
Aetna
| Professional | $96.06 | $97.22 | $97.22 | |
BCBS
| Professional | $121.53 | $151.00 | $311.00 | |
Cigna
| Facility | $194.70 | $194.70 | $194.70 | |
Cigna
| Professional | $158.18 | $158.18 | $208.72 | |
United
| Professional | $40.83 | $58.33 | $71.94 |