| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $123.03 | $208.93 | |
BCBS
| Professional | $173.78 | $173.78 | $173.78 | |
Cigna
| Facility | $144.54 | $144.54 | $416.87 | |
Cigna
| Professional | $104.71 | $104.71 | $269.15 | |
United
| Facility | $77.62 | $134.90 | $316.23 | |
United
| Professional | $77.62 | $107.15 | $169.82 |