| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.49 | $86.49 | $86.49 | |
Aetna
| Professional | $40.94 | $57.60 | $86.49 | |
BCBS
| Professional | $57.93 | $57.93 | $57.93 | |
Cigna
| Facility | $59.92 | $59.92 | $105.92 | |
Cigna
| Professional | $43.74 | $43.74 | $122.63 | |
United
| Professional | $24.37 | $45.71 | $72.06 |