| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $97.72 | |
Aetna
| Professional | $57.54 | $67.61 | $85.11 | |
BCBS
| Professional | $77.62 | $77.62 | $102.33 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $70.79 | $85.11 | $107.15 |