| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.60 | $106.60 | $113.52 | |
Aetna
| Professional | $81.13 | $93.22 | $113.52 | |
BCBS
| Facility | $46.12 | $55.98 | $75.31 | |
BCBS
| Professional | $58.40 | $80.00 | $102.56 | |
Cigna
| Professional | $81.33 | $112.06 | $312.26 | |
United
| Professional | $68.20 | $92.78 | $126.67 |