| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.26 | $102.26 | $102.26 | |
Aetna
| Professional | $51.13 | $76.70 | $145.60 | |
BCBS
| Professional | $127.83 | $159.00 | $327.00 | |
Cigna
| Facility | $204.47 | $204.47 | $204.47 | |
Cigna
| Professional | $166.17 | $166.17 | $219.59 | |
United
| Professional | $42.95 | $42.95 | $102.26 |