| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.18 | $127.18 | $127.18 | |
Aetna
| Professional | $60.21 | $127.18 | $127.18 | |
BCBS
| Professional | $89.82 | $89.82 | $89.82 | |
Cigna
| Facility | $77.09 | $77.09 | $128.96 | |
Cigna
| Professional | $56.28 | $77.09 | $112.93 | |
United
| Professional | $40.49 | $60.74 | $96.86 |