| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.34 | $102.34 | $102.34 | |
Aetna
| Professional | $102.34 | $117.90 | $157.81 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $342.87 | $342.87 | $342.87 |