| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.18 | $97.72 | $257.04 | |
BCBS
| Facility | $302.00 | $302.00 | $302.00 | |
BCBS
| Professional | $70.79 | $85.11 | $154.88 | |
Cigna
| Professional | $81.28 | $81.28 | $104.71 | |
United
| Professional | $91.20 | $114.82 | $190.55 |