| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $97.72 | $151.36 | |
BCBS
| Facility | $93.33 | $93.33 | $173.78 | |
Cigna
| Facility | $123.03 | $123.03 | $123.03 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
United
| Professional | $93.33 | $97.72 | $102.33 |