| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.40 | $99.40 | $99.40 | |
Aetna
| Professional | $47.05 | $99.40 | $99.40 | |
BCBS
| Professional | $62.98 | $62.98 | $62.98 | |
Cigna
| Facility | $62.81 | $62.81 | $109.58 | |
Cigna
| Professional | $45.85 | $62.81 | $95.95 | |
United
| Professional | $29.10 | $43.64 | $68.73 |