| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.80 | $156.80 | $156.80 | |
Aetna
| Professional | $19.27 | $19.55 | $26.73 | |
BCBS
| Professional | $29.00 | $36.00 | $36.00 | |
Cigna
| Professional | $18.38 | $28.25 | $49.80 | |
United
| Professional | $19.00 | $33.60 | $55.38 |