| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.18 | $89.18 | $89.18 | |
Aetna
| Professional | $106.70 | $116.30 | $117.37 | |
BCBS
| Professional | $479.40 | $564.00 | $564.00 | |
Cigna
| Facility | $100.66 | $100.66 | $100.66 | |
Cigna
| Professional | $106.70 | $150.99 | $150.99 | |
United
| Professional | $106.70 | $106.70 | $106.70 |