| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.67 | $54.67 | $54.67 | |
Aetna
| Professional | $55.57 | $56.12 | $64.45 | |
BCBS
| Professional | $59.91 | $70.48 | $70.48 | |
Cigna
| Facility | $52.42 | $52.42 | $52.42 | |
Cigna
| Professional | $55.57 | $68.15 | $78.63 | |
United
| Professional | $55.57 | $55.57 | $55.57 |