| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.66 | $68.66 | $133.77 | |
BCBS
| Professional | $133.31 | $133.31 | $133.31 | |
Cigna
| Facility | $96.60 | $96.60 | $209.44 | |
Cigna
| Professional | $96.60 | $96.60 | $96.60 | |
United
| Professional | $71.19 | $89.51 | $99.30 |