| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $64.57 | $120.23 | |
BCBS
| Professional | $128.82 | $128.82 | $128.82 | |
Cigna
| Facility | $91.20 | $91.20 | $177.83 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
United
| Facility | $6.31 | $63.10 | $100.00 | |
United
| Professional | $69.18 | $75.86 | $125.89 |