| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $141.25 | $141.25 | |
Aetna
| Professional | $109.65 | $141.25 | $141.25 | |
BCBS
| Professional | $0.02 | $0.03 | $36.31 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $213.80 | $218.78 | $223.87 |