| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.94 | $140.94 | $140.94 | |
Aetna
| Professional | $80.80 | $170.73 | $294.77 | |
BCBS
| Professional | $134.00 | $165.00 | $222.00 | |
Cigna
| Professional | $100.51 | $171.44 | $253.52 | |
United
| Professional | $140.00 | $216.00 | $311.81 |