| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.48 | $70.48 | $70.48 | |
Aetna
| Professional | $40.85 | $70.48 | $70.48 | |
BCBS
| Professional | $57.67 | $57.67 | $57.67 | |
Cigna
| Facility | $53.86 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $83.72 | |
United
| Professional | $30.04 | $45.05 | $71.94 |