| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.19 | $117.19 | $117.19 | |
Aetna
| Professional | $117.19 | $117.19 | $117.36 | |
BCBS
| Professional | $111.65 | $131.35 | $139.35 | |
Cigna
| Facility | $110.72 | $110.72 | $110.72 | |
Cigna
| Professional | $117.36 | $117.36 | $166.08 | |
United
| Professional | $117.36 | $117.36 | $117.36 |