| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.59 | $118.93 | $122.52 | |
BCBS
| Facility | $259.24 | $259.24 | $259.24 | |
BCBS
| Professional | $96.52 | $133.59 | $136.09 | |
Cigna
| Professional | $111.48 | $152.83 | $276.88 | |
United
| Professional | $110.30 | $143.51 | $219.59 |