| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.07 | $112.08 | $156.91 | |
Aetna
| Professional | $93.03 | $112.08 | $112.08 | |
BCBS
| Facility | $100.87 | $100.87 | $151.31 | |
BCBS
| Professional | $100.87 | $100.87 | $102.89 | |
Cigna
| Facility | $95.27 | $95.27 | $95.27 | |
Cigna
| Professional | $95.27 | $95.27 | $95.27 | |
United
| Professional | $100.00 | $100.00 | $125.00 |