| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $128.82 | $131.83 | |
Aetna
| Professional | $117.49 | $128.82 | $128.82 | |
BCBS
| Professional | $0.02 | $1.23 | $1.45 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $13.18 | $13.18 | $13.18 | |
United
| Professional | $218.78 | $218.78 | $218.78 |