| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.99 | $94.99 | $94.99 | |
Aetna
| Professional | $93.85 | $94.99 | $94.99 | |
BCBS
| Professional | $118.74 | $147.00 | $304.00 | |
Cigna
| Facility | $189.82 | $189.82 | $189.82 | |
Cigna
| Professional | $154.44 | $154.44 | $204.07 | |
United
| Professional | $39.90 | $39.90 | $94.99 |