| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.70 | $81.70 | $81.70 | |
Aetna
| Professional | $78.80 | $78.80 | $81.70 | |
BCBS
| Professional | $116.08 | $136.57 | $136.57 | |
Cigna
| Facility | $74.33 | $74.33 | $74.33 | |
Cigna
| Professional | $78.79 | $78.79 | $111.50 | |
United
| Professional | $78.80 | $78.80 | $88.26 |