| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.26 | $95.27 | $357.30 | |
Aetna
| Professional | $93.03 | $95.27 | $102.33 | |
BCBS
| Facility | $106.48 | $106.48 | $106.48 | |
BCBS
| Professional | $106.48 | $106.48 | $106.48 | |
Cigna
| Facility | $95.27 | $95.27 | $95.27 | |
Cigna
| Professional | $95.27 | $95.27 | $95.27 | |
United
| Professional | $95.27 | $100.00 | $102.00 |