| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.22 | $136.22 | $136.22 | |
Aetna
| Professional | $136.66 | $138.03 | $158.53 | |
BCBS
| Professional | $135.60 | $159.53 | $159.53 | |
Cigna
| Facility | $128.93 | $128.93 | $128.93 | |
Cigna
| Professional | $136.66 | $167.61 | $193.40 | |
United
| Professional | $136.66 | $136.66 | $136.66 |