| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.76 | $109.76 | $109.76 | |
Aetna
| Professional | $51.96 | $109.76 | $109.76 | |
BCBS
| Professional | $72.52 | $72.52 | $72.52 | |
Cigna
| Facility | $67.56 | $67.56 | $121.06 | |
Cigna
| Professional | $49.33 | $67.56 | $106.00 | |
United
| Professional | $35.97 | $57.78 | $86.15 |