| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.12 | $101.12 | $101.12 | |
Aetna
| Professional | $99.91 | $101.12 | $101.12 | |
BCBS
| Professional | $126.40 | $157.00 | $324.00 | |
Cigna
| Facility | $202.38 | $202.38 | $202.38 | |
Cigna
| Professional | $164.57 | $164.57 | $217.26 | |
United
| Professional | $42.47 | $42.47 | $101.12 |