| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.97 | $185.97 | $185.97 | |
Aetna
| Professional | $88.03 | $185.97 | $185.97 | |
BCBS
| Professional | $153.47 | $153.47 | $153.47 | |
Cigna
| Facility | $120.06 | $120.06 | $185.60 | |
Cigna
| Professional | $87.64 | $120.06 | $162.52 | |
United
| Professional | $56.41 | $84.62 | $130.82 |