| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.64 | $90.64 | $199.80 | |
BCBS
| Professional | $175.99 | $175.99 | $175.99 | |
Cigna
| Facility | $126.72 | $126.72 | $319.10 | |
Cigna
| Professional | $126.72 | $126.72 | $126.72 | |
United
| Professional | $111.19 | $167.26 | $278.77 |