| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.52 | $61.52 | $61.52 | |
Aetna
| Professional | $60.79 | $61.52 | $61.52 | |
BCBS
| Professional | $76.90 | $95.00 | $197.00 | |
Cigna
| Facility | $122.82 | $122.82 | $122.82 | |
Cigna
| Professional | $100.13 | $100.13 | $131.91 | |
United
| Professional | $25.84 | $25.84 | $61.52 |