| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.60 | $100.60 | $100.60 | |
Aetna
| Professional | $47.62 | $100.60 | $100.60 | |
BCBS
| Professional | $67.81 | $67.81 | $67.81 | |
Cigna
| Facility | $71.02 | $71.02 | $113.64 | |
Cigna
| Professional | $51.84 | $71.02 | $99.50 | |
United
| Professional | $28.34 | $43.57 | $69.56 |