| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.33 | $93.33 | $104.71 | |
BCBS
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Facility | $89.13 | $107.15 | $107.15 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
United
| Professional | $89.13 | $93.33 | $97.72 |