| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.55 | $79.55 | $157.50 | |
BCBS
| Professional | $154.50 | $154.50 | $154.50 | |
Cigna
| Facility | $110.00 | $110.00 | $147.16 | |
Cigna
| Professional | $110.00 | $110.00 | $110.00 | |
United
| Professional | $73.62 | $110.60 | $184.34 |