| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.64 | $108.64 | $108.64 | |
Aetna
| Professional | $80.47 | $80.47 | $80.47 | |
BCBS
| Professional | $41.86 | $41.86 | $41.86 | |
Cigna
| Professional | $23.12 | $23.12 | $23.12 | |
United
| Professional | $15.13 | $26.38 | $66.59 |