| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.54 | $39.54 | $82.21 | |
BCBS
| Professional | $76.79 | $76.79 | $76.79 | |
Cigna
| Facility | $57.45 | $57.45 | $116.70 | |
Cigna
| Professional | $57.45 | $57.45 | $57.45 | |
United
| Professional | $43.33 | $62.89 | $104.81 |