| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $70.79 | $87.10 | $114.82 | |
BCBS
| Facility | $100.00 | $120.23 | $162.18 | |
Cigna
| Facility | $107.15 | $162.18 | $229.09 | |
Cigna
| Professional | $436.52 | $436.52 | $436.52 | |
United
| Facility | $93.33 | $162.18 | $204.17 | |
United
| Professional | $69.18 | $85.11 | $114.82 |