| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.08 | $181.08 | $181.08 | |
Aetna
| Professional | $85.72 | $181.08 | $181.08 | |
BCBS
| Professional | $149.44 | $149.44 | $149.44 | |
Cigna
| Facility | $121.82 | $121.82 | $188.31 | |
Cigna
| Professional | $88.93 | $121.82 | $164.89 | |
United
| Professional | $58.68 | $88.03 | $137.90 |