| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $151.36 | $151.36 | |
Aetna
| Professional | $89.13 | $125.89 | $245.47 | |
BCBS
| Professional | $316.23 | $316.23 | $371.54 | |
Cigna
| Professional | $64.57 | $89.13 | $831.76 | |
United
| Professional | $91.20 | $151.36 | $223.87 |