| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.21 | $153.21 | $153.21 | |
Aetna
| Professional | $27.30 | $27.30 | $40.07 | |
BCBS
| Facility | $84.61 | $84.61 | $94.01 | |
Cigna
| Facility | $41.64 | $41.64 | $41.64 | |
Cigna
| Professional | $41.64 | $41.64 | $41.64 | |
United
| Professional | $47.14 | $47.14 | $47.14 |