| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.00 | $106.14 | $117.74 | |
Aetna
| Professional | $45.82 | $63.80 | $111.36 | |
BCBS
| Facility | $97.33 | $97.33 | $97.33 | |
BCBS
| Professional | $97.33 | $97.33 | $97.33 | |
Cigna
| Professional | $66.48 | $66.48 | $83.12 | |
United
| Professional | $24.36 | $34.79 | $110.00 |