| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.75 | $140.75 | $140.75 | |
Aetna
| Professional | $363.54 | $363.54 | $363.54 | |
BCBS
| Professional | $147.12 | $173.08 | $173.08 | |
Cigna
| Professional | $161.82 | $161.82 | $161.82 | |
United
| Professional | $158.93 | $163.26 | $173.38 |