| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.67 | $104.67 | $151.01 | |
Aetna
| Professional | $104.67 | $104.67 | $126.96 | |
BCBS
| Facility | $98.82 | $98.82 | $98.82 | |
BCBS
| Professional | $98.82 | $98.82 | $98.82 | |
Cigna
| Facility | $98.43 | $115.07 | $115.07 | |
Cigna
| Professional | $115.07 | $115.07 | $115.07 | |
United
| Professional | $97.60 | $102.74 | $123.14 |