| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.56 | $122.42 | $122.42 | |
Aetna
| Professional | $99.11 | $122.42 | $122.42 | |
BCBS
| Professional | $0.02 | $0.03 | $0.03 | |
Cigna
| Professional | $9.85 | $9.85 | $9.85 | |
United
| Professional | $203.70 | $203.70 | $203.70 |