| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.39 | $30.90 | $100.00 | |
Aetna
| Professional | $31.62 | $50.12 | $144.54 | |
BCBS
| Professional | $56.23 | $56.23 | $56.23 | |
Cigna
| Professional | $44.67 | $54.95 | $72.44 | |
United
| Professional | $63.10 | $63.10 | $63.10 |