| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.98 | $104.74 | $104.74 | |
Aetna
| Professional | $87.28 | $87.28 | $104.74 | |
BCBS
| Facility | $94.32 | $94.32 | $94.32 | |
BCBS
| Professional | $88.00 | $94.32 | $94.32 | |
Cigna
| Facility | $77.29 | $87.28 | $87.28 | |
Cigna
| Professional | $87.28 | $87.28 | $87.28 | |
United
| Professional | $87.28 | $87.28 | $90.05 |