| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $46.77 | $87.10 | |
BCBS
| Professional | $91.20 | $91.20 | $91.20 | |
Cigna
| Facility | $60.26 | $60.26 | $114.82 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $4.68 | $46.77 | $66.07 | |
United
| Professional | $44.67 | $57.54 | $93.33 |