| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.00 | $111.63 | $129.65 | |
BCBS
| Professional | $160.00 | $197.00 | $197.00 | |
Cigna
| Facility | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $91.68 | $125.14 | $187.32 | |
United
| Professional | $115.20 | $153.60 | $295.64 |